摘要
目的：评价超声及乳腺X线摄影对乳腺硬化性腺病的诊断价值，并与病理对照。方法：收集2007年8月—2012年11月29个硬化性腺病的影像病理资料，回顾性分析其超声、乳腺X线摄影及病理表现。结果：超声检查肿块27个，主要表现为≤2 cm，形态不规则、无血流、无后方声影，其中10个病灶边缘模糊或成角或伴后方声影，误诊为恶性，病理见纤维增生及间质硬化；超声表现正常1个。乳腺X线摄影肿块10个，主要表现为<2 cm、形态规则、边缘清楚或部分被遮蔽、等密度，病理组织成分多样，纤维组织透明变性为主，边界清楚；微钙化1个，为小圆形簇状分布；X线表现正常5个。结合超声及乳腺X线检查，诊断的准确率为75.86%（22/29），无漏诊病例。结论：结合超声及乳腺X线检查，可以提高硬化性腺病的诊断准确率。
Abstract
Objective: To assess the value of ultrasound, and mammography in diagnosing sclerosing adenosis of the breast. Methods: The record of 25 cases who had ultrasonogram and mammogram in our institute from August 2007 to November 2012 were reviewed retrospectively. Altogether 29 breasts were proved to be sclerosing adenosis by histopathology. The ultrasonographic and mammographic findings were analyzed. Results: The sonographic findings were: mass in 27, normal in one. The most common sonographic findings of the masses were ≤2 cm, irregular in shape, without blood flow, no posterior shadow. Misdiagnosed in 10 cases which were irregular in shape, angled edge, associated with posterior acoustic shadow. The mammographic findings were: mass in 10, the most common mammographic findings of the masses were oval or lobulated, homogeneous in density, well-circumscribed or partially obscured edge, microcalcifications in one(clustered, small round microcalcifications). Normal mammograms in five. Conclusion: Combination of ultrasound and mammography, the diagnostic accuracy of sclerosing adenosis can be improved.
关键词
乳腺疾病 /
硬化 /
超声检查 /
放射摄影术
Key words
Breast diseases /
Sclerosis /
Ultrasonography /
Radiography
王慧颖;张 伟;戴文静;韩 露.
超声及乳腺X线摄影对乳腺硬化性腺病的诊断价值与病理对照研究[J]. 中国临床医学影像杂志. 2014, 25(1): 25-28
WANG Hui-ying;ZHANG Wei;DAI Wen-jing;HAN Lu.
Ultrasound and mammography in the diagnosis of sclerosing adenosis of breast andcorrelation with pathological findings[J]. Journal of China Clinic Medical Imaging. 2014, 25(1): 25-28
中图分类号：
Ｒ655.8
Ｒ445.1
R814.41
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
