乳腺分叶状肿瘤的X线诊断评价

Evaluation the Mammographic diagnosis of phyllodes tumor

目的探讨乳腺分叶状肿瘤的临床资料和X线表现。方法回顾分析9例资料完整，经过手术、病理证实乳腺分叶状肿瘤X线钼靶片。结果9例肿块中，良性5例，交界性2例，恶性2例。肿块直径2—12am，外上象限多见，形态分别为椭圆形、分叶形，边界均较清晰，巨大肿块2例表面凹陷；9例均呈实质性均匀密度，无钙化；5例边界有透明晕环绕，腋窝均未见肿大淋巴结。结论认识和掌握乳腺分叶状肿瘤的病理分型和X线表现，对术前诊断有重要的意义。

Objective To study the mammographic and clinical findings of phyllodes tumors. Methods The mammographic feature of phyllodes tumors were retrospectively reviewed in 9 cases of information by Surgery. Results Histopathologic slides were reviewed, tumors was classified as benign （n = 5） ,borderline （n = 2） and malignant （n =2）. The tumors diameter varied 2 - 12 cm, the upper outer quadrant was the most commonly involved site. All tumors were high uniformity density, no calcifications, their shape including oval and- Shaped, and surface depressed in 2 enormous mass. A clear halo was seen around the mass in 5 cases. The axillaries were absent. Conclusion It is significant for the diagnosis befor operations of phyllodes to recognizeits tumor pathological types and mammographic findings.