乳腺假血管瘤样间质增生的临床及超声表现  

Pseudoangiomatous Stromal Hyperplasia of Breast:Sonographic and Clinical Features

作　　者：孙秀明[1] 陈路增[1] 陈铭[1] 石健[1] 冉旭[1] 陈斐[1] Sun Xiuming;Chen Luzeng;Chen Ming;Shi Jian;Ran Xu;Chen Fei(Department of Ultrasound,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院超声医学科,北京市100034

出　　处：《中国超声医学杂志》2020年第11期988-990,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨乳腺假血管瘤样间质增生的临床表现和超声影像特征。方法对48例患者的临床信息及54个乳腺结节的形状、方位、边缘、内部回声、后方回声、钙化情况、血供情况进行回顾性分析。结果绝经前以及使用激素替代治疗的绝经后女性占总数的86.7%。87.0%的结节为无痛性、质硬,75.9%的结节表现为低回声,81.5%的结节内无明显血流供应。36个(66.7%)结节诊断为BI-RADS 4类。41个结节(75.9%)通过超声引导下粗针活检获得病理。结论超声多表现为外形不规则的低回声团块。建议超声引导下穿刺活检以鉴别良恶性。Objective Evaluate the sonographic and clinical features of PASH of the breast.Methods 54 breast nodules diagnosed as PASH 0 f 48 patients were evaluated according to the Ultrasound BI-RADS○R Atlas,including shape,margin,lesion boundary,internal echo,posterior acoustic features,calcification and blood supply.Results Premenopausal women and postmenopausal women treated with hormone replacement accounted for 87.0%of the total.75.9%of the nodules showed hypoechoic,81.5%had no obvious blood supply.36 nodules(66.7%)are classified as BI-RADS 4.41 nodules(75.9%)were diagnosed by CNB.Conclusions Most PASH lesions are hypoechoic,irregular,CNB of these lesions is necessary to exclude malignacy.

关 键 词：乳腺 假血管瘤样间质增生 超声 

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]