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乳腺错构瘤的临床与X线分析 总被引:1,自引:0,他引:1
目的:探讨乳腺错构瘤的临床及X线特点,提高X线诊断水平,减少误诊。方法:收集经手术病理证实的乳腺错构瘤25例,回顾性分析其临床及X线资料。结果:发病年龄21~65岁,平均36岁,无痛性乳腺肿块19例,无症状6例。X线片上病变由不同比例的脂肪组织、腺体和纤维组织混合组成,其中混合型17例,全部正确诊断;以纤维腺体组织为主的致密型6例,误诊4例;以脂肪组织为主的脂肪型2例,误诊1例。结论:混合型乳腺错构瘤X线表现具有特征性,乳腺X线摄影能明确诊断;致密型和脂肪型X线表现不典型,认识其混杂密度X线征象和临床特点有助于诊断和鉴别诊断。 相似文献
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目的:探讨乳腺错构瘤的X线诊断及意义。方法:回顾性分析35例经手术病理证实的乳腺错构瘤患者的乳腺X线资料,并与手术病理对比分析。结果:35例乳腺错构瘤在X线片上以脂肪组织与纤维腺体组织不同比例混合,呈混合型密度的肿块影有18例,以脂肪组织为主呈脂肪型低密度的肿块影有8例,以纤维腺体组织为主呈致密型密度的肿块影有9例;肿块影大小分布,≤2.1cm有5例,在2.1~4.0cm的有13例,>4.0cm有17例;肿块影边缘清晰的有28例,模糊及较清晰共有7例。结论:乳腺错构瘤的X线表现与其病灶内低密度的脂肪组织及高密度的腺体组织、纤维组织所占的比例有关,其中混杂密度是其特异性的X线表现。 相似文献
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《临床军医杂志》2015,(11)
目的分析乳腺错构瘤各型的钼靶X线特点,结合病理资料分析其特征性表现,旨在提高术前诊断准确率。方法回顾性分析经病理证实的乳腺错构瘤9例,所有患者均行常规钼靶X线摄影,术后病理组织完整,病理结果由副高职以上人员诊断确认。结果 9例患者中,混合型5例,病理镜下纤维、脂肪、乳腺导管及小叶成份比例大致相等;致密型3例,病理镜下以纤维成份为主;脂肪型1例,病理镜下以脂肪成份为主。其中,术前钼靶X线诊断6例,正确率67%(6/9),1例误诊为纤维腺瘤,1例误诊为囊肿,1例误诊为脂肪瘤。结论钼靶X线对乳腺错构瘤的诊断可提供大量信息,包括成份、边缘、大小、周围情况等,但也易与其他良性肿瘤混淆。 相似文献
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目的:研究引起男性乳腺肿块常见疾病的X线表现特点及诊断,以提高对其认识.方法:收集因乳腺肿块进行乳腺X线检查的男性49例,回顾性分析上述患者的乳腺X线表现及临床特点,归纳可引起男性乳腺肿块的常见疾病种类.结果:49例男性患者,经乳腺X线检查诊断为男性乳腺发育症45例,其中结节型31例(68.9%),树枝型6例(13.3%),弥漫型8例(17.8%).另外4例经X线检查发现乳腺肿块归为BI-RADS 4类,最终手术病理证实为浸润性乳腺癌1例,转移性腺癌1例,囊内乳头状癌1例,脂肪坏死1例.结论:男性乳腺发育症和男性乳腺癌是引起男性乳腺肿块的常见病因,前者一般通过典型X线表现就可做出正确诊断,男性乳腺癌、脂肪坏死等少见疾病的确诊仍有赖于最终病理诊断. 相似文献
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目的:分析乳腺分叶状肿瘤的X线表现,以提高对该病的认识。方法:回顾性分析经手术病理证实的16例乳腺分叶状肿瘤的X线表现及临床资料,并与病理结果进行对照。结果:16例乳腺分叶状肿瘤中,良性11例,交界性3例,恶性2例。乳腺X线表现为肿块10例,其中无钙化肿块9例,肿块伴钙化1例;类圆形3例,分叶状7例;边缘清晰4例,边缘模糊6例。乳腺X线表现为边缘模糊的团块状致密腺体影6例。乳腺X线诊断与病理诊断的符合率为62.5%。结论:乳腺分叶状肿瘤在乳腺X线表现上不具特异性,最终仍依靠组织病理学诊断。 相似文献
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Myoid hamartoma is an uncommon type of breast hamartoma and its recurrence is very rare. We report the imaging appearance of an unusual case of recurrent myoid hamartoma of the breast mimicking malignancy in a 43-year-old woman. Although the mammographic and ultrasonographic findings have long been described in the literature, MR finding with a dynamic study has not, to the best of our knowledge, been reported previously. 相似文献
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目的探讨乳腺黏液腺癌X线摄影表现的病理学基础。方法回顾性分析30例乳腺黏液腺癌(单纯型19例,混合型11例)的X线摄影表现,并分析其病理特点。结果①乳腺黏液腺癌最常见的x线表现为肿块(25例),伴或不伴钙化。少见征象为局部不对称性致密影伴钙化(5例);②单纯型黏液腺癌X线表现多为边缘小分叶,混合型黏液腺癌X线摄影多表现为边缘浸润,两者差异有统计学意义;③肿块的形状、大小、密度情况在判断黏液腺癌的病理分型上无统计学意义。结论不同亚型的乳腺黏液腺癌的X线摄影表现不完全一致,单纯型黏液腺癌最常见的表现为边缘小分叶的肿块,较少伴钙化;混合型黏液腺癌最常见的表现为边缘浸润的肿块,多伴细小、多形性钙化。 相似文献
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腋部副乳腺的X线诊断 总被引:2,自引:0,他引:2
目的 认识腋部副乳腺的X线表现。方法 回顾性复习了3年来的7562例女性接受日常乳腺X线检查的内侧斜位照片,观察有无副乳腺及其X线表现。诊断依据为:在腋内有和主乳腺不相连的腺体样结构。结果 7562例中发现腋部副乳腺161例,发生率2%,平均年龄39岁。38%发生于两侧,42%发生于右侧,20%发生于左侧。最大径线平均为3.5cm(右)和3.3cm(左)。在形态上,斑片状最多(35%),其余依次为分支状(26%)、混合状(20%)及团片状(19%)。3例手术病理证实为乳腺组织。结论 腋部副乳腺不少见,有一定的X线表现,认识它很重要,以避免将此种发育异常误认为其他病变。 相似文献
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Hamartoma, lipoma and fat necrosis are benign fatty tissue lesions that may present as breast lumps. The mammographic appearance may be distinctive allowing imaging diagnosis without biopsy. The characteristic feature of hamartoma is that of a compressible mass containing radiolucent fat interchanged with dense fibrous connective tissue surrounded by a thin radioopaque pseudocapsule. Lipomas are radiolucent with well-defined thin smooth capsule. Twenty-seven percent of fat necrosis appears as discrete round or oval radiolucent oil cyst with thin capsule and egg-shell calcification. 相似文献
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PURPOSE: The authors' purpose was to explore the association between mammographic findings and drainage patterns on lymphoscintigrams obtained during sentinel node procedures for breast carcinoma. MATERIALS AND METHODS: From July 1997 to March 2000, 132 patients with breast cancer who were included in a prospective mammography-pathology correlation and staging database were imaged 2 hours after perilesional injection of 1 mCi filtered (0. 22 microm) Tc-99m sulfur colloid (4 ml volume) before sentinel node procedures. RESULTS: Sixty-four percent of the scans showed axillary drainage only, 9% showed axillary and internal mammary drainage, and 4% revealed internal mammary drainage only. Twenty-three percent of scans showed no drainage. Of the patients who showed drainage, 17% showed drainage to the internal mammary basin, and 5% showed this exclusively. Internal mammary drainage was seen in 18% (10 of 57) of lateral, 21% (6 of 29) of medial, and 14% (1 of 7) of subareolar lesions (P = NS). No drainage was seen in 22% of patients with predominantly fatty mammographic parenchymal density (>50%) compared with only 8% of patients with predominantly dense (>50%) parenchyma (P < 0.05). Failure to show drainage was more common in women older than 50 years (P < 0.05). Axillary sentinel nodes were identified surgically in 73% of patients with negative scan findings. There was no significant association between scintigraphic drainage and mammographic soft tissue tumor size and appearance, histologic findings, or axillary node status. CONCLUSIONS: Dense mammographic parenchyma and age less than 50 years are associated with identification of lymphatic drainage on lymphoscintigrams performed before sentinel node procedures in 91% to 92% of patients. Internal mammary drainage, present in 18% of lateral and 21% of medial lesions, may direct therapy to include internal mammary lymph nodes. 相似文献
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The mammograms of 17 women with pathologically proved breast hamartomas were reviewed. Abnormal masses were detected on 12. Nine women had masses with benign features. Two of these had findings considered classic for hamartoma. In three cases, the appearance of the mass was suggestive of carcinoma. The breasts were very dense in four of five women without detectable mass. The findings suggest that the classic mammographic appearance of breast hamartomas is less common than previously reported, which may be explained by earlier detection of small hamartomas. 相似文献