男性乳腺发育症临床X线分析——附10例报告

目的 提高对男性乳腺发育症的认识.方法 收集本院收治男性乳腺发育症10例患者的临床资料,回顾性分析本症临床及X线表现.结果 10例患者中,15～25岁5例,40～50岁1例,55～70岁4例.患者均有乳房肿大及压痛等症状,病程半个月～8个月.双侧乳房增大4例,单侧增大6例.8例经手术病理证实,2例经肌注十一酸睾酮、口服活血化瘀药物等治疗后,肿块及症状消失.10例患者均摄双侧乳房钼靶X线片,其X线表现分为4种:①纤维型4例,最为常见,乳晕区可见三角形阴影,有刷状影像向四周放射.②大节结状2例,密度大致均匀,圆形或卵圆型,有时可出现哑铃样改变.③斑片状3例,呈不均匀斑片状密度增高,无明显边缘影.④小节结状1例,为不规则的小结节状影.结论 男性乳腺发育症X线检查具有确诊意义,诊断上需与男性乳腺癌及假性乳房发育相鉴别.

Clinical and radiological analysis of gynecomastia: report of 10 cases

Objective To study the clinical and X-ray findings of gynecomastia. Methods Clinical and X-ray findings of 10 patients with gynecomastia were analyzed retrospectively. Results X-ray findings were divided into 4 groups:(1) fiberoptic dendric pattern:most common, triangular shadow in the mammary areola and radial dendric pattern. (2) mass:round or oval mass with high density and well-defined border, sometimes in the form of dumbbell , called psedoumor; (3) patch: patch like uneven mass with high density and ill-defined border;(4) nodule: irregular uneven nodules. Conclusion Clinical and X-ray findings of gynecomastia have some characteristic features.It can be differentiated from mammary cancer and pseudogynecomastia.