高频超声对男性乳房肿块的诊断体会

Ultrasonographic Diagnosis for Male Breast Mass

目的探讨男性乳腺常见疾病的临床和声像图表现,以提高诊断水平。方法收集在我院行乳腺超声检查的男性乳腺疾病病例,将超声结果与最终证实的临床病理诊断进行比对;并且根据获得的病理诊断分析超声声像图。结果有39例患者获得病理资料,其中男性乳腺发育症35例(超声误诊1例),脂肪瘤1例(超声和病理完全符合),男性乳腺发育合并脂肪瘤1例(超声漏诊脂肪瘤1例),乳腺癌2例(超声误诊1例)。本组男性乳腺疾病超声诊断总符合率为92.3%(36/39)。结论超声检测较直观地显示男性乳腺及其周围的结构,获得病变的部位、大小、形态、内部回声及血流等信息,结合临床综合分析,对男性乳腺发育症和其它男性乳腺良、恶性病变的诊断及鉴别诊断有较高的准确性,少数肿块声像图存在特殊性,鉴别困难,需切除肿块或作病理学活检才能明确诊断。

Objective To explore the clinical and sonographic features of common breast diseases to improve the diagnosis.Methods The male breast disease cases from breast ultrasound examination were collectedin our hospital and compared the ultrasound findings with the final confirmed clinicopathological diagnosis.The ultrasound sonograms based on the obtained pathological diagnosis was analyzed.Results 39 patients pathological data had been obteined,including 35 cases of male mastopathies(1 case of misdiagnosis by ultrasound),1 case of lipoma(completely matched with ultrasound and pathology),1 case of male breast development combined with lipoma(1 case of missed ultrasound lipoma),breast cancer in 2 cases(ultrasound misdiagnosis in 1 case).The total rate of ultrasound diagnosis of male breast disease in this group was 92.3%(36/39).Conclusion It is accurate to diagnose male breast disease by ultrasound for the clearly and directly show of male breast structure and the site of disease,morphology and internal echo.For few of them with mass of particularity in ultrasonogram such cases should be resected mass or with pathology biopsy to diagnose.