男性乳腺少见疾病的数字钼靶X线及临床分析  

Analysis of digital mammography and clinical manifestations of rare diseases in male breast

作　　者：王秋香[1] 李亚洲[1] 韩捧银[1] 杨光[1] 李智岗[1] 

机构地区：[1]河北医科大学第四医院放射科,河北石家庄050011

出　　处：《实用放射学杂志》2016年第4期536-538,561,共4页Journal of Practical Radiology

摘　　要：目的 提高对男性乳腺少见疾病的X线影像表现和临床特征的认识。方法 收集手术病理证实的12例男性乳腺少见疾病患者的全部资料，分析其数字钼靶X线征象及临床特征。结果 （1）术后病理：脂性肉芽肿1例，浆细胞性乳腺炎2例，表皮囊肿继发感染1例，导管内乳头状瘤1例，乳腺癌6例（浸润性导管癌4例，低分化腺癌1例，黏液腺癌1例），非霍奇金淋巴瘤1例。（2）数字钼靶X线摄影表现为乳房内单发肿块11例，多发者1例，10例肿物位于乳晕后方，2例远离乳头方向，肿物边缘模糊者9例，毛刺征1例、分叶征1例、伴微钙化1例，无单纯微钙化者，10例伴有乳头内陷和乳晕区皮肤增厚，1例伴有腋前淋巴结肿大。（3）本组X线诊断符合率41%（5/12），其中男性乳腺癌的诊断符合率最高（83.3%）；总误诊率为59%（7/12），其中良性病变误诊率高达80%（4/5）。结论 男性乳腺少见疾病发病率低且病种繁杂，良恶性病变的X线征象及临床表现无特异性，误诊率较高。Objective To probe the X-ray imaging features and clinical manifestations of some rare diseases in male breast. Methods The data of 12 patients with some rare diseases in male breast were collected. The X-ray manifestations and clinical features of the diseases were analyzed. Results The postoperative pathology showed the lipogranuloma in 1 patient, plasma cell mastitis in 2, secondary infection of epidermal cyst in 1,intraductal papilloma in 1,breast cancer in 6 （invasive ductal carcinoma in 4,poor-differentiated adenocarcinoma in 1, and mucinous carcinoma in 1）, and breast lymphoma in 1. The digital mammography showed the intramammary solitary masses in 11 and multiple ones in 1. 10 masses were located at the rear of the areola, and other 2 were opposite. Unclear edge of the lesion was found in 9, spiculation in 1, lobulation in 1, and micro-calcification in 1. Nipple retraction and areola skin thickening in 10 and enlarged axillary lymph node in 1 were also found. The total accurate rate of X-ray diagnosis was 41% （5/12）, while that of breast cancer was 83.3%. The total misdiagnosis rate was 59% （7/12）, and that of benign lesion was 80% （4/51. Conclusion The diseases in male breast are rare and various, and the X-ray and clinical manifestations are not specific.

关 键 词：乳腺X线摄影 脂性肉芽肿 表皮囊肿 导管内乳头状瘤 浆细胞性乳腺炎 浸润性导管癌 淋巴瘤 

分 类 号：R816.4[医药卫生—放射医学] R655.8[医药卫生—临床医学]