乳腺错构瘤的临床与超声影像学特征分析  

Clinical and ultrasonographic features of breast hamartoma

作　　者：席芬 张培培[1] 孝梦甦 刘真真 张一休 张璟 朱庆莉[1] 孟华[1] Xi Fen;Zhang Peipei;Xiao Mengsu;Liu Zhenzhen;Zhang Yixiu;Zhang Jing;Zhu Qingli;Menghua(Department of Ultrasound,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Bejing 100730,China;Department of Ultrasound,Guangzhou First People's Hospital,the Second Affiliated Hospital of South China University of Technology,Guangzhou 510180,China)

机构地区：[1]中国医学科学院、北京协和医学院、北京协和医院、协和转化医学中心超声医学科,100730 [2]广州市第一人民医院、华南理工大学第二附属医院超声医学科,510180

出　　处：《中华医学超声杂志（电子版）》2024年第5期505-510,共6页Chinese Journal of Medical Ultrasound(Electronic Edition)

基　　金：中央高水平医院临床科研业务费资助(2022-PUMCH-A-028)。

摘　　要：目的探讨乳腺错构瘤的临床及超声影像学特征。方法回顾性分析2002年7月至2023年6月北京协和医院经手术治疗且病理证实的60例乳腺错构瘤患者共61个病灶的临床资料和超声影像学检查结果,并总结其特征。结果所有患者均为女性,年龄为(44.1±11.9)岁。乳腺错构瘤好发于乳腺外侧象限,最大径中位数为3.20 cm,超声表现多样化。典型的乳腺错构瘤声像图特征为:形态规则,边界清晰,病灶内以低回声为主,混杂相间条状或带状高回声,彩色多普勒血流不丰富。结论乳腺错构瘤具有一定的临床和超声影像学特征,超声检查作为首选的诊断方法,可为临床诊治提供重要的参考信息。Objective To analyze the clinical and ultrasonographic features of breast hamartoma.Methods A retrospective analysis was conducted on 61 lesions of 60 female patients with pathologically confirmed breast hamartoma who underwent surgical treatment at Peking Union Medical College Hospital from July 2002 to June 2023.The clinical data and ultrasonographic examination results were reviewed,and the characteristics of breast hamartoma were summarized.Results All patients were female with an average age of(44.1±11.9)years.Breast hamartomas were predominantly located in the outer quadrants of the breast,with a medium diameter of 3.20 cm.The ultrasonographic features varied among cases.Typical sonographic characteristics of breast hamartoma included regular shape,clear borders,predominantly hypoechoic interior with intermingled linear or band-like hyperechoic areas,and poor vascularity on color Doppler imaging.Conclusion Breast hamartoma has certain clinical and sonographic characteristics.Ultrasonography is the preferred diagnostic method for breast hamartoma,providing important information for clinical diagnosis and treatment.

关 键 词：乳腺 错构瘤 超声检查 

分 类 号：R445.1[医药卫生—影像医学与核医学] R737.9[医药卫生—诊断学]