乳腺叶状肿瘤的钼靶X线、超声表现与病理对照分析

A Compared Study on Mammography,Ultrasound and Pathology of Breast Phyllodes Tumor

目的:探讨乳腺叶状肿瘤的临床特点、钼靶X线及超声表现,以提高诊断水平。材料和方法:应用钼靶X线及彩色多普勒超声检查12例经手术病理证实的乳腺叶状肿瘤患者,观察其X线及超声表现并与病理对照分析。结果:12例乳腺叶状肿瘤中,6例为良性,3例为交界性,3例为恶性。X线诊断为乳腺叶状肿瘤3例,乳腺癌3例,乳腺纤维腺瘤6例。超声诊断为叶状肿瘤2例,乳腺占位病变8例,纤维腺瘤2例。结论:乳腺叶状肿瘤的钼靶X线和超声表现缺乏特异性,但具有比较典型的影像特征,二者联合并结合临床资料有利于早期发现本病,但其良恶性与影像学表现无显著关系,确诊主要依靠病理检查。

Purpose To investigate the imaging features of breast phyllodes tumor on mammography（MG）,ultrasound（US）and pathology,correlated with its clinical manifestation.Materials and Methods Twelve cases of pathologically confirmed breast phyllodes tumors were examined by US and MG.The imaging findings were retrospectively analyzed.Results Of the 12 cases of breast phyllodes tumors,6 were benign,3 were malignant and 3 were borderline.MG predicted 3 breast phyllodes tumors,3 breast carcinomas and 6 adenomas.US predicted 2 phyllodes tumors,8 breast masses and 2 adenomas.Conclusion The imaging findings of phyllodes tumors on MG and US are characteristic but not specific.Combined application of both US and MG are helpful for early detection but can not differentiate its malignancy which is determined by pathology.