【摘要】 目的:探讨乳腺假血管瘤样间质增生(pseudoangiomatous stromal hyperplasia of the breast,PASH)的超声特征。方法:收集2012—2019年于复旦大学附属华山医院行乳腺手术并经病理学检查诊断为PASH的患者共10例。回顾并分析其临床信息及超声图像表现特点。结果:患者年龄21～59岁(平均年龄40岁),其中绝经后1例,10例均未摄入激素类药物。9例患者超声图像表现为平行位生长肿块,1例为无肿块型,仅表现为局部回声减低伴点状钙化灶,依据乳腺影像报告和数据系统(Breast Imaging Reporting and Data System,BI-RADS)分类标准分为0类。9例肿块型中7例均表现为边界清晰,椭圆形,低回声,部分内部回声欠均匀(1例内部见小条状无回声区),BI-RADS 3类;1例表现边界清晰,形态欠规则,伴可疑钙化,BI-RADS 4a类;1例表现为边界清晰,椭圆形,以实性为主囊实混合性病灶,BI-RADS 4b类。结论:PASH超声图像缺乏特异性,易与纤维腺瘤相混淆,临床上应注意鉴别诊断。更多还原

【Abstract】 Objective: To investigate the ultrasound features of pseudoangiomatous stromal hyperplasia of the breast(PASH). Methods: A retrospective review of 10 female patients with a final pathological diagnosis of PASH, diagnosed from 2012 to 2019 at Huashan Hospital of Fudan University, was undertaken. The clinical features and ultrasound features were retrospectively reviewed. Results: The age range for 10 patients ultimately enrolled in the study was 21-59 years old, with a mean age of 40 years. One patient evaluated were menopausal, and all of them did not take hormone drugs. Nine cases of PASH showed parallel orientation mass, one case of non-mass forming, but depicted as only low echoic lesions and calcifications, Breast Imaging Reporting and Data System(BIRADS) 0. Seven cases of 9 mass PASH showed the presence of a well-circumscribed mass, oval, with hypoechoic(1 case inner have small cysts), BI-RADS 3. One case was irregular in shape, with suspicious calcification,BI-RADS 4 a. One case was cystic-solid mixed masse, BI-RADS 4 b. Conclusion: The ultrasound features of PASH are non-specific and easily confused with fibroadenoma. It should be differentiated from fibroadenoma clinically.更多还原