表现为肿块的乳腺腺病的超声声像图特征分析  

Ultrasonographic features of breast adenosis presented with mass

作　　者：徐乐[1] 何琳[1] 邹海蓉[1] 张志君[1] 龚俊[2] 陈涛[3] 

机构地区：[1]重庆医科大学附属大学城医院超声科,重庆401331 [2]重庆医科大学附属第一医院肝胆外科,重庆400016 [3]重庆医科大学病理科,重庆400016

出　　处：《第三军医大学学报》2016年第22期2466-2469,共4页Journal of Third Military Medical University

摘　　要：目的通过对表现为乳腺肿块的乳腺腺病的超声声像图进行分析,以期进一步提高对该病的认识和超声诊断的准确性,更好地指导临床。方法回顾性分析2014年1月到2015年4月重庆医科大学附属大学城医院普外科105例临床及超声声像图表现为肿块,经病理证实为乳腺腺病患者[均为女性,年龄(41.2±10.9)岁]的临床资料及超声声像图特征。结果病理证实为乳腺腺病的105例病例,超声诊断为乳腺腺病61例,纤维腺瘤31例,乳腺恶性病变4例,囊肿8例,乳腺叶状肿瘤1例,所有病例中绝大部分乳腺腺病超声表现为腺体层内低回声或低至无回声,形态规则或不规则,边界清晰或不清,后方回声不同程度增强或无改变,纵横比小于1,彩色多普勒显示多为乏血供结节。结论乳腺腺病的典型超声表现为体积较小的实性结节,但对于一些因其体积较小,恶性特征不突出,常规超声表现为良性病变的小结节也应警惕其具有恶性的可能,必要时进一步检查或进行组织病理学检查。Objective To analyze the ultrasonographic features of breast adenosis presented with mass for better understanding the disease and improving ultrasonic diagnosis accuracy, and therefore providing clinical guidance. Methods A total of 105 cases from the general surgery department in our hospital between January 2014 and April 2015 was retrospectively reviewed. The subjects were women with average age of 41.2 ± 10.9, underwent ultrasonography and pathologically diagnosed as adenosis. Results Among the 105 cases of pathologically proven adenosis, ultrasound diagnosis indicated 61 cases of mammary gland disease, 31 cases of fibroadenoma, 4 cases of malignant breast lesions, 8 cases of cyst, and 1 case of breast phyllodes tumor. Ultrasonographic findings showed that most cases appeared as hypoechoic or hypoechoic to anechoic, with regular or irregular shaped glands and clear or blurred lesion boundary. In addition, posterior echo was either enhanced at different degrees or non-changed, and the ratio of antero-posterior diameter to transverse diameter was less than 1. Color Doppler illustrated insufficient blood supply of nodules. Conclusion Small solid nodule is the most common feature of breast adenosis detected by ultrasonography. For some small lesions without obvious malignancy, ultrasonography may define them as benign. Hence, further inspection or histopathological examination is necessary for excluding their malignant possibility in breast adenosis.

关 键 词：乳腺腺病 超声检查 诊断 鉴别 

分 类 号：R445.1[医药卫生—影像医学与核医学] R655.8[医药卫生—诊断学]