乳腺错构瘤X线、超声表现与病理11例病例并对照分析  

Comparative Analysis on Mammography,Ultrasound and Pathology of Patients with Mammary Hamartoma

作　　者：吴建萍[1] 李鹍[1] 李卓琳[1] 丁莹莹[1] 

机构地区：[1]云南省肿瘤医院放射科,云南昆明650118

出　　处：《昆明医科大学学报》2015年第3期95-98,共4页Journal of Kunming Medical University

基　　金：云南省教育厅科学研究基金资助项目(2014C030Y)

摘　　要：目的探讨乳腺错构瘤的X线、超声影像学特征表现及其与病理的关系.方法回顾性分析11例经手术和病理证实为乳腺错构瘤患者的X线、彩色多普勒超声影像资料,使用超声检查并按Adle半定量法对病灶血流情况进行分级.结果 11例乳腺错构瘤病理分型为致密型6例,混合型3例,脂肪型1例,1例以囊肿为主合并少许实质成分者未纳入分型.X线检查诊断10例,均表现为境界清楚的结节或肿块,有完整包膜;其中致密型6例,混合型3例,脂肪型1例.诊断正确6例、误诊2例,不能确定诊断2例.超声检查能够检出全部11例患者病变,均表现为境界清楚的肿块,内部为低回声、混杂或高回声,伴或不伴线样分隔.脂肪型1例,混合型3例,致密型6例,以囊肿为主而未纳入分型1例.诊断正确2例,误诊8例,不能确定诊断1例.Adle半定量法血流0级5例,1级6例.结论乳腺错构瘤的X线及超声表现具有一定特征,2种检查方法联合应用可对该病的正确诊断提供有价值的信息.Objective To investigate the relationship between the pathological, mammographic and ultrasounographic features in patients with the mammary hamartoma. Methods The clinical data of 11 cases with mammary hamartoma were analyzed retrospectively. The mammographic and ultrasounographic characteristics of the breast lesions were compared, meanwhile the blood flow detected by the ultrasound was classified according to Adle semi-quantitative method. Results 10 cases of breast hamartoma were diagnosed by mammography and 1 case was incorrectly diagnosed. The lesions in 10 patients showed a clearly margin in the mammography and a complete capsule in pathology. For the pathological types, 6 cases were dense type, 3 cases were mixed type, and 1 case was fat type. 11 cases diagnosed by ultrasounography included 1 case in fat type, 3 cases in mixed type, and 6 cases in dense type; 1 case with cyst was not including in the main types. The blood flow measured using Adle semi-quantitative method was rated as grade 0 in 5 cases, grade 1 in 6 cases. Conclusion Combination of mammography and ultrasonography can help to achieve the correct diagnosis of mammary hamartoma.

关 键 词：乳腺错构瘤 X线表现 超声表现 

分 类 号：R737.9[医药卫生—肿瘤] R814.4[医药卫生—临床医学]