硬化性乳腺病的影像诊断及病理对照

The diagnostic imaging and pathologic correlation of sclerosingadenosis

目的:探讨硬化性乳腺病的影像诊断及病理对照。方法:收集经手术病理证实的189例209个SA及71例77个RS/CSL的临床、钼靶X线表现及病理资料,总结硬化性乳腺病变在X线表现的特征。结果:260例286个硬化性乳腺病灶中,X线表现为致密型乳腺的77例(29.6%),团块状密度增高125个(43.7%),斑片结节影161个(56.3%),合并各种钙化183个(64.0%),局部结构紊乱35个(12.2%),呈星状收缩15个(5.2%),结节边缘毛刺伴钙化5例(1.7%)。结论:硬化性乳腺病在X线上仍为良性增生性改变,当结构紊乱合并收缩时应手术治疗。

Objective：To explore the diagnostic imaging and pathologic correlation of sclerosing adenosis.Methods：189patients with pathologically confirmed 209 SA and 71 patients with 77RS/CSL clinical,molybdenum target X ray findings and pathological information,to summarize hardening characteristics of breast lesions in the X ray.Results：The imaging of the 260patients（286focus）through mammography was analyzed,including 77 dense breast focuses（29.6%）;125increasing mass density focuses（43.7%）;161patchy nodule focuses（56.3%）,183 complicated with calcification focuses（64.0%）,35 the local disordered structure（12.2%）,15 stellate contraction（5.2%）,and 5nodule edge burr with calcification（1.7%）.Conclusion：The sclerosing mastopathy is a benign change in X-ray,and should be treated with surgical treatment when the disease is complicated and contracted.