摘要
目的：探讨乳腺分叶状肿瘤的X线影像学表现，提高对本病的认识。方法：回顾性分析2008年10月～2011年1月我院22例经手术病理证实为乳腺分叶状肿瘤患者的乳腺X线影像资料．并与病理进行对照。结果：乳腺分叶状肿瘤患者22例，共有病灶26个，其中，6个为良性，12个为交界性，8个为恶性。26个病灶中，25个无钙化的肿块，1个结构扭曲。元钙化的肿块中，圆形、卵圆形肿块8个，分叶形肿块17个；高密度肿块17个，等密度肿块8个；肿块边缘清晰15个，其中，有6个肿块边缘见晕征，肿块边缘部分模糊7个，肿块边缘模糊3个。良性、交界性、恶性分叶状肿瘤平均直径分别为3．04、4．47、4．56cm。5例患者肿块短期迅速增长，全部患者均未见转移性淋巴结肿大。结论：对短期内快速增长、直径约3cm边缘清晰的高密度无钙化分叶形肿块，应想到分叶状肿瘤的可能。良、恶性分叶状肿瘤在肿块形状、边缘及密度改变的X线表现上差异不明显，最终诊断仍需依靠组织学。
Objective： To investigate the X-ray image of mammary phyllodes tumor for the purpose of improvement of cognition to the disease. Methods： Mammary X-ray image, data of 22 patients confirmed with mammary phyllodes tumor by surgical pathology were analyzed retrospectively and compared with pathology. Results： There were 26 lesions among 22 cases of patients With mammary phyllodes tumor, of which 6 were benign, 12 were borderline and 8 were malignant. 25 lumps were non-calcified, 1 was structurally distorted. Among lumps without calcification, 8 lumps were round and oval and 17 lumps were phyllodes; 17 lumps were high-density, 8 lumps were equi-density; 15 lumps were with clear edges, of which 6 were with halo sign, 7 lumps were with partially obscure edges, 3 lumps were with obscure edges. The average diameters of benign, borderline and malignant phyllodes tumors were 3.04 cm, 4.47 cm and 4.56 cm respectively. 5 cases of patients had lumps short-term rapid growth; all patients had no metastatic lymph node enlargement. Conclusion： For rapidly srowing and high-density phyllodes lumps without calcification which has clear edges and 3 cm diameter, the possibility of phyllodes tumors should be considered. Lump shape, edge and density change have no significant difference in X-ray images between benign and malignant phyllodes tumors. The final diagnosis relies on histology.
出处
《中国医药导报》
CAS
2011年第26期102-103,共2页
China Medical Herald
