乳腺包被性乳头状癌的影像表现  

Imaging features of breast encapsulated papillary carcinoma

作　　者：李雪梅 陈颖[2] 崔春玲 LI Xue-mei;CHEN Ying;CUI Chun-ling(Department of Radiology,Qingpu Branch of Zhongshan Hospital Afiliated to Fudan University,Shanghai 201700,China;Department of Radiology,The First Afiliated Hospital of Harbin Medical University,Harbin 150001,China)

机构地区：[1]复旦大学附属中山医院青浦分院放射科,上海201700 [2]哈尔滨医科大学第一附属医院放射科,黑龙江哈尔滨150001

出　　处：《哈尔滨医科大学学报》2022年第3期281-284,共4页Journal of Harbin Medical University

基　　金：上海市青浦区科技发展基金项目(QKY2021-11)。

摘　　要：目的分析乳腺包被性乳头状癌的影像特点。方法回顾性分析2018年10月~2021年11月复旦大学附属中山医院青浦分院经病理证实的3例乳腺包被性乳头状癌的影像表现。结果3例患者均为女性,年龄分别为57、62、69岁。X线表现:2例表现为肿块,1例阴性。超声表现:3例均为肿块,2例呈囊实性,1例呈实性;2例血流丰富,1例少许血流。磁共振成像(magnetic resonance imaging,MRI)表现:2例为囊实性肿块,1例实性;增强扫描时间-信号强度曲线呈流出型1例,速升平台型2例。表观弥散系数(apparent diffusion coefficient,ADC)值分别为0.99×10^(-3)mm^(2)/s、1.03×10^(-3)mm^(2)/s、1.17×10^(-3)mm^(2)/s。结论乳腺包被性乳头状癌有一定的特征,囊实性肿块多见,超声及MRI检查能为本病的诊断提供更多的信息。Objective To analyze imaging features of breast encapsulated papillary carcinoma.Methods The imaging features in 3 cases of pathologically proven breast encapsulated papillary carcinoma from October 2018 to November 2021 in Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University were retrospectively analyzed.Results All the 3 patients were women who were 57,62 and 69 years old.X-ray features showed that 2 patients appeared as masses,and one patient was negative.Ultrasonic features showed that all of them appeared as masses,of which 2 cases were cyst-solid masses and 1 case was solid.Two masses showed high resistance blood flow and 1 mass was low.Magnetic resonance imaging(MRI)features showed that 2 cases were cyst-solid masses,and one case was solid.Enhanced scanning time-single intensity curve showed outflow pattern in 1 case and fast-rising platform in 2 cases.Apparent diffusion coefficient(ADC)values were 0.99×10^(-3)mm^(2)/s,1.03×10^(-3)mm^(2)/s,and 1.17×10^(-3)mm^(2)/s.Conclusion The breast encapsulated papillary carcinoma has certain characteristics,and commonly presents a cyst-solid mass.Ultrasonography and MRI can provide more information for the diagnosis of the carcinoma.

关 键 词：乳腺肿瘤 包被性乳头状癌 影像表现 

分 类 号：R737.9[医药卫生—肿瘤]