乳腺错构瘤的X线诊断(附10例报告)

Mammographic manifestations of mammary hamartoma (with an analysis of 10 cases)

目的探讨乳腺错构瘤的X线征象和诊断。方法回顾性分析10例经手术病理证实的乳腺错构瘤的X线检查结果。患者均为女性,年龄25～56岁,平均(40.1±5.4)岁。结果X线表现混合型6例,脂肪型2例,致密型2例,以混合型最为常见、最具特征,以致密型、脂肪型最易误诊或漏诊。本组6例诊断正确。结论X线检查是本病最好的诊断方法,瘤体内密度不均匀是X线特征性改变,正确诊断有助于临床手术术式的选择。

Objective To analyze the mammographic characteristics and the pathological basis of mammary hamartoma. Methods The mammogram of 10 cases of marnmary hamartoma proved by pathology were retrospectively analyzed. The patients aged from 25 to 56 years with an average age of （40. 1 ± 5. 4 years）. Results According to the fat/parenchyma ratio, the mammgraphic manifestations of mammary hamartoma were divided into three types. 2 highly radiolucent lesions were classified as fat type, 2 lesions with high density were classified as dense type and the rest 6 lesions were the mixed type composed of adipose and glandular tissue. The mixed type was the most distinctive, while the dense or rat type was easy to be misdiagnosed. Accurate diagnosis was made in 6 cases out of, and the overall diagnostic accuracy was 60%. Conclusion Mammography is the choice of diagnosis, and an accurate diagnosis will help surgical planning.