乳腺错构瘤的临床与超声影像学特征分析

Clinical and ultrasonographic features of breast hamartoma

目的探讨乳腺错构瘤的临床及超声影像学特征。方法回顾性分析2002年7月至2023年6月北京协和医院经手术治疗且病理证实的60例乳腺错构瘤患者共61个病灶的临床资料和超声影像学检查结果,并总结其特征。结果所有患者均为女性,年龄为(44.1±11.9)岁。乳腺错构瘤好发于乳腺外侧象限,最大径中位数为3.20 cm,超声表现多样化。典型的乳腺错构瘤声像图特征为:形态规则,边界清晰,病灶内以低回声为主,混杂相间条状或带状高回声,彩色多普勒血流不丰富。结论乳腺错构瘤具有一定的临床和超声影像学特征,超声检查作为首选的诊断方法,可为临床诊治提供重要的参考信息。

Objective To analyze the clinical and ultrasonographic features of breast hamartoma.Methods A retrospective analysis was conducted on 61 lesions of 60 female patients with pathologically confirmed breast hamartoma who underwent surgical treatment at Peking Union Medical College Hospital from July 2002 to June 2023.The clinical data and ultrasonographic examination results were reviewed,and the characteristics of breast hamartoma were summarized.Results All patients were female with an average age of(44.1±11.9)years.Breast hamartomas were predominantly located in the outer quadrants of the breast,with a medium diameter of 3.20 cm.The ultrasonographic features varied among cases.Typical sonographic characteristics of breast hamartoma included regular shape,clear borders,predominantly hypoechoic interior with intermingled linear or band-like hyperechoic areas,and poor vascularity on color Doppler imaging.Conclusion Breast hamartoma has certain clinical and sonographic characteristics.Ultrasonography is the preferred diagnostic method for breast hamartoma,providing important information for clinical diagnosis and treatment.