摘要
目的分析乳腺脂肪瘤的钼靶摄影表现,探讨钼靶摄影在乳腺脂肪瘤诊断中的价值。方法对13例患者15个经手术病理证实为乳腺脂肪瘤病灶的钼靶摄影表现进行回顾性分析。结果13例（15个病灶）乳腺脂肪瘤钼靶摄影表现：（1）部位：乳腺浅层脂肪瘤2例,腺体间脂肪瘤9例,腺体后脂肪瘤2例;（2）大小：病变最大6cm×4cm,最小1.0cm×0.8cm;（3）形态：均为圆形或椭圆形,边缘光滑,3例呈分叶状;（4）数目：12例为单发病灶,1例为双乳多发病灶;（5）密度：均为低密度或以低密度为主的病变,12例（14个病灶）周边为较纤细而致密的包膜,1例无明显包膜;（6）与周围腺体关系：周围腺体呈受推挤、受压改变。结论乳腺脂肪瘤的钼靶摄影表现有其特异性,结合临床病史,可作出准确诊断。
Objective To analyze the mammographic findings of breast lipoma and to evaluate the value of mammography for diagnosis of breast lipoma. Method Mammography of fifteen breast lipomas in thirteen patients confirmed by pathological examination was retrospectively analyzed. Results The mammographic findings of 13 patients with breast lipoma （15 lipemas） were listed as following： （1）posi- tion： two lesions were located at the superficial adipose tissue of breast, nine were located among the breast glands tissue, two were located in the deep fascia behind the breast glands. （2） size ： the maximal lesion was 6cm × 4cm, the minimal was 1.0cm × 0.8cm. （3） morphology： all lesions were round or round -like with smooth rim, three lesions appeared multilobular. （4）number： twelve patients （14 lesions） had single lesion and one had multiple lesions in both breasts. （5）density： all lesions were low in density or mainly low dense,twelve lesions were surrounded by tenuous and fibrotic capsule and only one did not have capsule. （6）the adjacent： breast glands were pushed and pressed by the tumor. Conclusion Radiological characteristics of breast lipoma were obvious in mammography. Accurate diagnosis of breast lipoma can be made by combination of clinical features and mammography.
