乳腺错构瘤X线病理对照分析

目的探讨乳腺错构瘤X线平片、导管造影、注气造影表现及其病理基础.方法分析X线检查并经病理证实的26例,其中26例投照X线平片,13例行导管造影,5例行注气造影,12例行标本X线摄影,并进行X线病理对照分析.结果全部病例均为良性、局限性生长,有完整包膜.X线表现因瘤体内所含脂肪和纤维腺体成分的数量不同而异,可分为三型脂肪为主型、纤维(纤维腺体)为主型和脂肪纤维混合型.结论X线可清晰显示脂肪和纤维腺体成分分布的区域,形成特征性"香肠切片”样征象.导管造影和注气造影有助于鉴别诊断.

Breast Hamartomas: Mammographic - Pothologic Correlative Analysis

Objective To investigate the mammographic,galactographic,pneumographic features and their pathological basis.Methods Mammography(n=26),galactography(n=13),pneumography(n=5)and specimen radiography(n=12) in 26 cases pathologically proved,and mammographic-pathologic correlation were analyzed.Results The breast hamartomas in 26 cases were all benign,they were circumscribed and surrounded by a true capsule.The mammographic appearances could be divided into three types acording to different amount of fibroglandular and adipose tissue in tumors:prominantly fatty,prominantly fibrous(fibroglandular)and mixed fibrofatty.Conclusion A clearly containing areas of fat and fibroglandular density and a characteristic"slice of sausage"appearance can be showed on mammograms.Galactography and pneumography is of a great help to differential diagnosis of breast hamartomas.