乳腺假血管瘤样间质增生的超声表现分析  

作　　者：沈伟橙 梁哲浩[1] 

机构地区：[1]浙江中医药大学附属第一医院,310006

出　　处：《浙江临床医学》2024年第7期1065-1066,1069,共3页Zhejiang Clinical Medical Journal

摘　　要：目的 分析乳腺假血管瘤样间质增生(PASH)的超声表现。方法 回顾性分析2017年6月至2023年8月41例经病理诊断乳腺PASH患者的临床资料,分析肿块的超声表现。结果 41例PASH患者中,超声检查检出病灶50个,平均最大长径30.62 mm,结节状病灶42个,低回声区样局灶性病灶6个,弥漫性改变病灶2个,其中23个病灶显示肿块内裂隙样回声,12个病灶彩色多普勒可显示血流信号,分级Ⅱ~Ⅲ级;术后病理示单纯性PASH 3个,乳腺增生合并PASH 4个,乳腺纤维上皮性肿瘤合并PASH 16个,乳腺慢性炎症合并PASH 1个,乳腺多种病变合并PASH 26个。结论 PASH超声图像表现呈多样性,多与其他乳腺病变伴随,较难诊断,应做好鉴别诊断。Objective To investigate the ultrasonographic features of pseudoangiomatous stromal hyperplasia(PASH)of the breast.Methods From June 2017 to August 2023,patients pathologically diagnosed with breast PASH in the First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine with complete clinical,imaging and pathological data were retrospectively analyzed.The ultrasound characteristics of the masses were observed and summarized.Results 49 lesions were detected by ultrasound in 41 patients with PASH,mean maximum length 30.62 mm,including 42 nodular lesions,6 hypoechoic focal lesions,and 2 diffuse lesions.Among them,23 lesions showed slit-like echo in the mass,and 11 lesions showed blood flow signals by color Doppler.GradeⅡ~Ⅲ.Postoperative pathology showed 3 lesions of simple PASH,4 lesions of breast hyperplasia combined with PASH,16 lesions of breast fibroepithelial tumor(mainly)combined with PASH,1 lesion of breast chronic inflammation combined with PASH,and 26 lesions of breast multiple lesions combined with PASH.Conclusion PASH ultrasound images have diverse manifestations and are often associated with other breast lesions,making them difficult to diagnose.Differential diagnosis should be done well in clinical work.

关 键 词：乳腺 假血管瘤样间质增生 超声 影像学 病理 

分 类 号：R737.9[医药卫生—肿瘤] R445.1[医药卫生—临床医学]