乳腺叶状肿瘤的临床及数字化X线征象分析

目的:观察乳腺叶状肿瘤的临床及数字化钼靶X线表现。方法:对11例手术病理证实的乳腺叶状肿瘤的临床及X线资料进行回顾性分析。结果:11例患者因乳腺无痛性包块就诊,触诊肿块质地坚韧,表面光滑,无压痛,活动度好。影像表现:肿块密度均匀,仅1例边缘模糊,其余边界清楚。其中5例呈分叶状。肿块内均无钙化,2例在肿块内下方及周围见粗颗粒点状散在钙化。未见毛刺征及皮肤异常等恶性征象。结论:认识乳腺叶状肿瘤的病理类型和临床特点,结合影像表现综合分析,可提高术前诊断准确率。

Clinical and digital mammography analysis of phyllodes tumor of breast

Objective:To observe the clinical and full-field digital mammography manifestation of the phyllodes tumor.Methods:The data of 11 involved cases confirmed both postoperatively and pathologically were analyzed retrospectively.Results:All the patients visited the doctor because of unexpected detection of indolent mass in the breast.Physical examination showed that the mass was firm in texture,but mobile;the surface of the lesion was smooth and felt no tenderness.Imaging findings showed that the density of the lesions was uniform,and most of them presented sharply defined outline;only one case displayed blurred margin.The tumor was lobulated in 5 cases,with no calcification inside.Scattered calcifications were observed in only 2 cases below and around the lesion.No glitch or secondary malignant signs were detected.Conclusions:Combination analysis of pathologic and clinical findings,as well as imaging manifestations may improve the preoperational diagnosis of phyllode tumor of the breast.