CAJ | 학술논문

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。
목적：분석유선경화성선병적림상、X선표현,결합병리결과,평개 X선재술전감별진단경화성선병여유선암적개치。방법회고성분석25례경수술병리증실위유선경화성선병적 X선표현급림상특정,병여수술병리진행대조분석。결과25례경화성선병중,2례위쌍측경화성선병,23례위단측경화성선병；6례반유상피비전형증생,4례반도관내유두상류,7례반섬유선류양결절형성。X선표현：7례표현위중등밀도결절영,변연모호、흠규칙；16례표현위성상영,기중6례위“흑성”,3례표현위“백성”,7례지유일개투조체위현시성상영,령외일개체위현시불청초혹형태변화교대；13례반개화,기중4례위소족상분포적침첨양개화,2례위조대、호형개화,기여균위산재급구역상분포적점상、침첨양개화。결론림상표현결합유선 X선검사대경화성선병여유선암유중요적감별진단개치。
Objective To analyze the clinical and X-ray manifestations of sclerosing adenosis of the breast,and to evaluate the val-ue 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 ca-ses 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,1 6 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.1 3 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.