男性乳腺肿瘤患者临床病理特征及超声影像特点分析

Male breast neoplasms: analysis in clinicopathological features and ultrasonic manifestations

目的分析男性乳腺肿瘤的临床病理特征以及超声影像特点。方法回顾性分析江苏省苏北人民医院甲状腺乳腺外科收治的28例男性乳腺肿瘤患者的临床资料。结果28例男性乳腺肿瘤患者中,15例出现皮肤侵犯或乳头溢液后就诊,12例患者病程1年以上,4例患者未完成后续治疗。19例男性乳腺癌患者(MBC)患者中,15例(78.9%)超声表现为低回声,3例(15.8%)表现为钙化,6例(31.6%)出现血流信号。16例(84.2%)MBC患者原发部位位于中央,MBC组与非MBC组原发部位差异有统计学意义(P<0.05)。结论男性乳腺肿瘤患者普遍就医晚,治疗依从性差。MBC大多位于中央部,低回声、钙化、血流信号为常见的超声表现,这些超声表现有助于男性乳腺良恶性肿瘤的鉴别和诊断。

Objective To analyze the clinicopathological features and ultrasonic manifestations of male breast neoplasms. Methods The clinical data of 28 male patients with breast neoplasms in Subei People’s Hospital in Jiangsu Province was retrospectively analyzed. Results Out of 28 male patients with breast neoplasms,fifteen patients visited doctors after developing symptoms of nipples discharge,and twelve patients had a duration of more than 1 year. At the same time,four of them did not complete further treatment. Out of nineteen male breast cancer (MBC) patients,the following ultrasonic manifestations were noticed: fifteen cases (78. 9%) showed hypo echoic mass,three cases (15. 8%) showed calcification and six cases (31. 6%) showed increased focal vascularity. The primary site of MBC patients was located in the central portion in 16 cases (84. 2%). The primary site of MBC group and non-MBC group showed significant difference (P < 0. 05). Conclusion Male patients are likely to reluctant to see a doctor early and have poor compliance to treatment. The primary site of MBC is mostly located in the central portion and manifestations of ultrasound images include hypo-echoic mass,calcification and increased focal vascularity,which could be helpful for differential diagnosis between benign and malignant male breast neoplasms.