CAJ | 학술논문

目的：探讨乳腺脂肪坏死的全数字化乳腺摄影表现及病理基础，提高对乳腺脂肪坏死的认识。方法：回顾性分析41例经手术病理证实的乳腺脂肪坏死的全数字化乳腺摄影表现，并与病理结果对照。结果：乳腺脂肪坏死的全数字化乳腺摄影主要表现为：油脂囊肿11例（26.8%），局部不对称或结构扭曲20例（48.8%），结节或肿块8例（19.5%），未见异常2例（4.9%）。结论：乳腺脂肪坏死根据其病因和时期，其影像表现多种多样，油脂囊肿、局部不对称或结构扭曲及肿块是常见的征象，全数字化乳腺摄影检查并紧密结合临床病史及触诊，可提高诊断准确性。
목적：탐토유선지방배사적전수자화유선섭영표현급병리기출，제고대유선지방배사적인식。방법：회고성분석41례경수술병리증실적유선지방배사적전수자화유선섭영표현，병여병리결과대조。결과：유선지방배사적전수자화유선섭영주요표현위：유지낭종11례（26.8%），국부불대칭혹결구뉴곡20례（48.8%），결절혹종괴8례（19.5%），미견이상2례（4.9%）。결론：유선지방배사근거기병인화시기，기영상표현다충다양，유지낭종、국부불대칭혹결구뉴곡급종괴시상견적정상，전수자화유선섭영검사병긴밀결합림상병사급촉진，가제고진단준학성。
Objective To evaluate the full-filled digital mammographic findings of fat necrosis of the breast and to improve the imaging diagnosis of the disease.Methods Radiographic findings in 41 cases with pathologically proved breast fat necrosis were retrospectively . Results The main appearance on full-field digital mammography include: lipid -cyst ( n= 11,26.8%), focal areas of increased density or architectural distortion ( n= 20,48.8%),mass ( n= 8,19.5%), the negative appearance on full-field digital mammography ( n= 2,4.9%).ConclusionThe imaging manifestations of fat necrosis of the breast vary with its etiology and stage. lipid –cyst、focal areas of increased density or architectural distortion and mass is common findings on full-field digital mammography.Full-field digital mammography combined with clinical information and palpation can improve the diagnosis accuracy of breast fat necrosis.