【摘要】 目的 分析乳腺硬化性腺病的临床、X线表现,结合病理结果,评价X线在术前鉴别诊断硬化性腺病与乳腺癌的价值。方法 回顾性分析25例经手术病理证实为乳腺硬化性腺病的X线表现及临床特征,并与手术病理进行对照分析。结果 25例硬化性腺病中,2例为双侧硬化性腺病,23例为单侧硬化性腺病;6例伴有上皮非典型增生,4例伴导管内乳头状瘤,7例伴纤维腺瘤样结节形成。X线表现:7例表现为中等密度结节影,边缘模糊、欠规则;16例表现为星状影,其中6例为“黑星”,3例表现为“白星”,7例只有一个投照体位显示星状影,另外一个体位显示不清楚或形态变化较大;13例伴钙化,其中4例为小簇状分布的针尖样钙化,2例为粗大、弧形钙化,其余均为散在及区域状分布的点状、针尖样钙化。结论 临床表现结合乳腺X线检查对硬化性腺病与乳腺癌有重要的鉴别诊断价值。更多还原

【Abstract】 Objective To analyze the clinical and X-ray manifestations of sclerosing adenosis of the breast,and to evaluate the value of preoperative differential diagnosis between the sclerosing adenosis and the breast cancer combined with pathology.Methods X-ray manifestations and clinical features of 25 patients with the sclerosing adenosis of the breast confirm by surgical pathology were analyzed retrospectively.Then the X-ray manifestations and clinical features were compared with the pathological results.Results Total 25 patients suffered from the sclerosing adenosis of the breast.Among them,2 cases were bilateral sclerosing adenosis,23 cases were unilateral sclerosing adenosis,6 cases with epithelial atypical hyperplasia,4 cases with intraductal papilloma,7 cases with fibroadenoma nodule formation,and the rest with the pure sclerosing adenosis.X-ray manifestations:7 cases presented the medium density nodular shadows with blurred and irregular edges,16 cases showed the star-shaped shadows of which 6 cases were the "black stars",3 cases of "white stars".One in 7 cases can only see a star shadow,another was unclear or the form was varied.13 patients showed the calcification among 4 cases presented the small clusters of distribution with needlepoint-like calcification,2 cases of bulky curved calcification,and the rest with scattered and regional distribution of dot,needlepoint-like calcification.Conclusion Combined with clinical manifestations,the breast X-ray plays an important role in the differential diagnosis of sclerosing adenosis and the breast cancer.更多还原