CAJ | 학술논문

目的探讨超声和钼靶检查对乳房受区脂肪移植术后坏死脂肪的诊断价值及病理特征.方法对2005年6月至2012年6月收治的13例共96处脂肪移植术后坏死脂肪标本的超声、钼靶检查结果,以及所摘除乳房结节的病理诊断资料,进行回顾性分析.结果 96处病损病理诊断均为脂肪坏死.病理表现有薄壁、厚壁囊肿和无壁囊肿3类.29处为薄壁脂性囊肿和52处厚壁脂性囊肿,在超声和钼靶上都有成像,但15处无壁囊肿在钼靶上有成像而超声上无成像.96处病损的钼靶表现均为良性包决的征象,未见恶性肿块征象.结论大部分坏死脂肪在乳房受区呈现特征性的薄壁或厚壁囊性超声和钼靶影像表现,不规则形脂肪灶性坏死在钼靶中可以成像,但在超声检查中有可能漏诊,未发现与乳房肿瘤相混淆的钼靶征象.
목적 탐토초성화목파검사대유방수구지방이식술후배사지방적진단개치급병리특정.방법 대2005년6월지2012년6월수치적13례공96처지방이식술후배사지방표본적초성、목파검사결과,이급소적제유방결절적병리진단자료,진행회고성분석.결과 96처병손병리진단균위지방배사.병리표현유박벽、후벽낭종화무벽낭종3류.29처위박벽지성낭종화52처후벽지성낭종,재초성화목파상도유성상,단15처무벽낭종재목파상유성상이초성상무성상.96처병손적목파표현균위량성포결적정상,미견악성종괴정상.결론 대부분배사지방재유방수구정현특정성적박벽혹후벽낭성초성화목파영상표현,불규칙형지방조성배사재목파중가이성상,단재초성검사중유가능루진,미발현여유방종류상혼효적목파정상.
Objective To investigate the significance and images characters of ultrasound and mammography in the diagnosis of fat necrosis after fat transplantation in breasts(FTB).Methods From June 2005 to June 2012,13 cases with 96 fat necrosis lumps after FTB,were retrospectively reviewed.The pre-operative images of ultrasound and mammography,as well as the post-operative histologic results were collected.Results All the 96 lumps were histologically diagnosed as fat necrosis.They were liponecrotic cysts with thin wall(29 lumps),or thick wall(52 lumps),or no wall(15 lumps).The cysts with wall could be distinguished both in the images of ultrasound and mammography,but the cysts without wall could only be found in mammography images,not in ultrasound images.Conclusions Most fat necrosis lesions show a special cystic images with thin or thick wall in ultrasound and mammography.Irregular lesions without wall can be distinguished in the mammography images,but may be mis-diagnosed in the images of ultrasound.The images characters of fat necrosis lesions in mammography are not confused with the breast tumor.