乳腺叶状肿瘤钼靶X线表现分析(附12例病例报告)

Mammographic Manifestations Of Mammary Phyllodes Tumor(An Analysis Of 12 Cases)

目的:探讨乳腺叶状肿瘤的钼靶X线表现,对照病理结果,以期提高该病的诊断准确性。方法:回顾性分析12例经手术病理证实的乳腺叶状肿瘤的钼靶X线表现与病理结果。结果:乳腺叶状肿瘤患者12人,共有13个病灶,其中良性病灶9个,交界性病灶3个,恶性病灶1个。13个病灶中,直径范围约1~11.5cm;圆形、类圆形肿块10个,不规则形3个,其中10个肿块可见分叶征;高密度肿块7个,稍高密度肿块6个;肿块边缘清晰6个,边缘部分模糊7个;8个肿块边缘可见晕征;3个肿块周围可见结构扭曲;只有1个肿块内可见钙化。结论:良、恶性乳腺叶状肿瘤在肿块大小、形态、密度、边缘改变的钼靶X线表现上差异不明显,最终诊断仍需依靠病理学检查。

Objective：To study the mammographic characteristics of mammary phyllodes tumor and correlate them to the pathological features in order to enhance the recognition of the tumor.Methods：Mammary X-ray image data of 12 patients confirmed with mammary phyllodes tumor by surgical pathology were analyzed retrospectively and compared with pathology.Results：There were 13 lesions among 12 cases of patients with mammary phyllodes tumor,of which 9 were benign,3 were borderline,1 were malignant.among 13 lesions,the average diameters were 1-11.5cm; 10 lumps were round and oval,3lumps were irregular shape,10 lumps were phyllodes among 13 lesions; 7 lumps were high-density,6 lumps were slightly hyperdense; 6 lumps were with clear edges,7 lumps were with partially obscure edges; 8 lumps were with halo sign; 1 lump was structurally distorted; only 1 lump appeared with calcification.Conclusion Lump size,shape,density and edge change have no significant difference in mammographic manifestations between benign and malignant phy llodes tumors.The final diagnosis relies on Pathological examination.