乳腺叶状肿瘤的临床钼靶X线分析

Clinical digital mammography analysis of breast phyllodes tumor

目的探讨乳腺叶状肿瘤的临床特点及全视野数字化乳腺钼靶X线表现,以提高诊断水平。方法回顾性分析经手术及病理证实的12例乳腺叶状肿瘤的病理类型及临床钼靶X线表现。结果乳腺叶状肿瘤患者病史较长,为单侧发,在短期内（0.5~1年）增长迅速。全数字化钼靶X线片上病灶多表现为圆形、类圆形或分叶状致密肿块,边缘清楚或局部欠清楚,密度均匀,周围静脉血管影增粗,不累及皮肤及皮下脂肪层。结论认识乳腺叶状肿瘤的特征性钼靶X线表现,并结合临床资料综合分析,是提高其术前诊断的关键。

Objective To investigate the clinical characteristics and digital mammography manitestations of breast phyllodes tumor, in order to improve the diagnosis level. Methods The pathological types and clinical digital mammography manifestations of 12 eases of breast phyllodes tumor were retrospectively analysed. Results Breast phyllodes tumor was solitary and grew rapidly （half a year to one year）. Imaging results showed a round and lobulated dense mass, clear edge or local less clear, uniform density, peripheral vein thickening, skin and fat without infiltration. Conclusion Digital mammography manifestations and clinical characteristics of breast phyllodes tumor are the key to improve the preoperative diagnosis.