乳腺叶状囊肉瘤的X线表现(附13例报告)  

Mammographic manifestations of breast cystosarcoma phyllodes (an analysis of 13 cases)

作　　者：赵弘[1] 马捷[2] 孙国平[2] 蒋红兵[1] 孙立宏[1] 

机构地区：[1]深圳市妇幼保健院放射科,广东518021 [2]深圳市人民医院放射科,518021

出　　处：《放射学实践》2003年第6期418-419,共2页Radiologic Practice

摘　　要：目的 :通过对乳腺叶状囊肉瘤X线征象分析以提高对其X线诊断水平。方法 :回顾性分析 13例经手术病理证实的乳腺叶状囊肉瘤X线征象。结果 :13例X线征象 :①肿物较小、边缘光滑锐利 4例 ,大小约 3 .75cm× 2 .9cm ;②肿物较大、边缘呈分叶状 4例 ,大小约 8.2 5cm× 7.12cm ;③肿物较小、边缘粗糙 2例 ,大小约 2 .2 5cm× 2 .2 5cm ;④腺体密度均匀未见肿物 1例 ;⑤腺体结构不良 2例。结论 :肿物大且呈分叶状 ,密度均匀 ,边缘清晰、锐利是诊断叶状囊肉瘤的重要依据 ,但有时需与乳腺纤维瘤。Objective:To improve the understanding of mammographic characteristics of breast cystosarcoma phyllodes.Methods:The mommograms of 13 cases with pathologically proved breast cystosarcoma phyllodes were reviewed. Results:The mammographic features of 13 cases included:small tumours with smooth and sharp border in 4 cases,mean size 3.75cm×2.9cm;large tumours with phyllode border in 4 cases,mean size 8.25cm×7.12cm;Small tumours with rough border in 2 cases,mean size 2.25×2.25cm;tumour not found but with homogeneous density in 1 case;architectural distortion in 2 cases.Conclusion:Large tumours with phyllode shape,homogeneous density,smooth and sharp border in breast are important basis in diagnosing the cystosarcoma phyllodes of the breast.

关 键 词：乳腺叶状囊肉瘤 X线表现 鉴别诊断 病理特点 

分 类 号：R737.9[医药卫生—肿瘤] R730.44[医药卫生—临床医学]