60岁以上女性乳腺纤维腺瘤临床及病理分析  

作　　者：朱明杰[1] 吕庆[1] 李励琦[1] 

机构地区：[1]江苏省无锡市第四人民医院,214000

出　　处：《浙江临床医学》2016年第11期2122-2123,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨老年女性乳腺纤维腺瘤的临床及病理特点。方法回顾性分析40例经手术病理检查证实的〉60岁的女性乳腺纤维腺瘤的临床表现、影像学表现及病理检查结果。结果40例患者术前均行乳腺B超及钼靶检查对肿块进行评估，行术中快速及术后石蜡常规病理明确为纤维腺瘤，B超与病理检查结果符合率80％（32／40），高于钼靶57．5％（23／40），差异有统计学意义（P〈0．05），病理检查结果55％提示有钙化。结论〉60岁女性纤维腺瘤部分影像学表现不典型，具有肿块内粗颗粒钙化特点，钼靶较乳腺B超的影像学易高估为乳腺癌，临床需提高对老年乳腺纤维腺瘤的认识。Objective To investigate the clinical and pathological features in elderly patients with breast fibroadenoma. Methods The clinical and radiographic features, pathological characteristics of 40 patients above 60 years old with breast fibroadenoma confirmed by surgical pathology were analyzed retrospectively. Results Total 40 patients underwent preoperative Ultrasonography and molybdenum target mammographic to evaluate the lesions. All the cases were diagnosed as breast fibroadenoma by intraoperative frozen section and paraffin section. The diagnostic accuracy of Ultrasonography was 80% （ 32/40 ） higher than mammography 57.5% （ 23/40 ） （ P〈0.05 ） .Pathological analysis present 55% calcification. Conclusion The radiographic manifestations of breast fibroadenoma in elderly patients were atypical, some present bulky curved calcification. Molybdenum target mammographic may mislead higher estimate of breast cancer than ultrasonography.We should improve cognition of breast fibroadenoma in elderly patients.

关 键 词：乳腺纤维腺瘤 彩色多普勒超声 乳腺钼靶 

分 类 号：R737.9[医药卫生—肿瘤]