MRI鉴别诊断乳腺叶状肿瘤与纤维腺瘤价值分析  

MRI Differential Diagnosis of Breast Phyllodes Tumor and Fibroadenoma Value Analysis

作　　者：芮春朵[1] 单海荣[1] RUI Chun-duo;SHA N Hai-rong(Department of Radiology,Yixing People＇s Hospital,Yixing,Jiangsu Province,214200 China)

机构地区：[1]宜兴市人民医院放射科,江苏宜兴214200

出　　处：《中外医疗》2018年第21期160-162,共3页China & Foreign Medical Treatment

摘　　要：目的探讨乳腺叶状肿瘤与纤维腺瘤的MRI影像学特征。方法方便选取2015年1月—2018年1月该院30例乳腺叶状肿瘤患者和30例纤维腺瘤患者为研究对象,全部患者均行乳腺MRI检查,对比观察两种疾病诊断结果及MRI影像学表现。结果乳腺叶状肿瘤圆形或类圆形(25.81%)少于纤维腺瘤,乳腺叶状肿瘤T1WI局部点状或斑片状高信号32.26%、T2WI高信号80.65%,II型TIC曲线41.94%,与纤维腺瘤差异有统计学意义(χ2=9.64,6.47,3.25,4.83,P<0.05)。结论乳腺叶状肿瘤与纤维腺瘤的MRI影像存在差异,临床以MRI诊断鉴别两种疾病具有重要影像学价值。Objective To investigate the MRI features of breast phyllodes tumor and fibroadenoma. Methods 30 patients with phyllodes tumors of the breast and 30 patients with fibroadenoma from January 2015 to January 1818 were convenient selected and studied. All patients underwent mammary gland MRI. The results of the two diseases were compared and the MRI findings were compared. Results The lobular tumor of breast was round or round-like（25.81%） less than fibroadenoma. The local punctate or patchy hyperintensity of breast tumor was 32.26% on T1 WI, 80.65% on T2 WI and 41.94% on type II TIC curve. There was a significant difference between fibroadenoma（χ^2=9.64, 6.47, 3.25, 4.83, P〈0.05）. Conclusion The MRI images of breast phyllodes tumors and fibroadenoma are different. Clinically, it is important to diagnose the two diseases with MRI.

关 键 词：乳腺叶状肿瘤 纤维腺瘤 MRI 影像学表现 

分 类 号：R656[医药卫生—外科学]