男性乳腺发育症的临床X线分析

目的探讨男性乳腺发育症的临床和钼靶X线表现,以提高对本病的认识.材料与方法男性乳腺发育症的钼靶X线乳房摄影14例,年龄26～63岁,平均46.8岁.右乳病变5例,左乳病变8例,双乳病变1例,共15个病变乳房.在乳房斜位片对双侧乳房的大小进行测量.结果乳晕后区片絮状4例、扇状或盘状11例.男性正常乳房乳晕皮肤至胸大肌前缘的平均距离为2.5cm,病变乳房平均为3.3cm.正常乳房腺体前后径平均为0.2cm,上下径平均为0.3cm.病变乳房腺体前后径平均2.2cm,上下径平均为3.4cm.正常与病变乳腺各测量值有显著性区别(P＜0.01).结论男性乳腺发育症根据临床表现、影像学特点,很容易作出正确诊断.但应进一步寻找致病原因,避免延误其他疾病的诊治.

Clinical and Mammographic Analysis of Gynecomastia

Purpose: To investigate clinical and mammographic manifestations of gynecomastia and improve the knowledge of this disease. Materials and methods: 14 patients with gynecomastia were undergone mammography (mean age, 46.8 years; range, 26 63 years), There were 5 cases in right breast, 8 cases in left breast and one case in both breast. The size of breast and the glandular tissues were measured on MOL mammogram. Results: The film showed flaky in subareolar region in 4 cases, fan or disk like shadow in 11 cases. The average distance from nipple to edge of greater pectoral muscle was 2.5 cm in normal breast and 3.3 cm in breast with gynecomastia. The average anteroposterior diameter of the glandular tissues was 0.2 cm and superio inferior diameter was 0.3cm in normal breast but 2.2cm and 3.4cm respectively in gynecomastia. There was significant difference between normal and gynecomastia breasts (P<0 01). Conclusion: Gynecomastia can be easy diagnosed which depend on clinical history and mammographic findings. Many causes have been implicated in genesis of this diseases, so the cause of gynecomastia must be sought.