干旱区生态环境知识资源中心(Arid): 乳腺增生症的影像学诊断

Arid

	乳腺增生症的影像学诊断
其他题名	Imaging Diagnosis of Mammary Hyperplasia
	杜红文; 张毅力; 张蕴; 张月浪; 徐贵平
ISSN	1005-5185
出版年	2007
卷号	15 期号:4 页码:270-273
中文摘要	目的:评价影像检查对乳腺增生症诊断与鉴别诊断中的作用.材料和方法:回顾性分析74例乳腺增生症的临床和影像学表现.74例均做了钼靶X线摄影检查,其中19例做了选择性乳腺导管造影、10例超声检查和3例核磁共振检查.结果:74例钼靶X线平片检查表现为片状高密度影44例(59.5%),结节影18例(24.3%),无异常发现者12例(16.2%).19例乳头溢液患者的选择性乳腺导管造影表现为囊肿型8例,囊肿伴导管硬化型6例,导管增生硬化型3例,终末导管囊性扩张型2例.10例肿块性患者的超声表现:实性病变8例,呈低回声;囊性病变2例,呈无回声液性暗区,伴有明显的后回声增强效应.3例乳腺囊肿,T1WI呈均匀低信号,T2WI呈均匀的高信号.结论:乳腺增生症的多种影像学表现反映其复杂多样的病理特点,钼靶X线摄影联合超声、MRI检查对肿块性病变的诊断与鉴别诊断有很重要的意义;选择性乳腺导管造影对乳头溢液患者的诊断帮助很大.
英文摘要	Purpose; To evaluate the value of imaging examination in diagnosis and differential diagnosis of mammary hyperplasia. Materials and Methods: The clinical and imaging characteristics of 74 cases with mammary hyperplasia were analyzed retrospectively. AH of them were performed x-ray mammography. Among them, 19 cases were performed selective galactography, 10 cases were underwent ultrasound inspection, 3 oases were underwent MRI. Results; X-ray mammography showed the high density shadows in 44 cases (59. 5% ) , the nodule or mass shadow in 18 cases (24. 3% ) , and nothing were found in 12 cases ( 16. 2% ). Of 19 patients with nipple discharge performed in selective galactography, there were the cyst pattern in 8 cases, the cyst with duct sclerosis pattern in 6 cases, the sclerosing duel proliferation pattern in 3 cases, and the cystic dilatation of terminal duct pattern in 2 cases. Of 10 patients with breast mass, 8 cases were solid. 2 cases were cyst. The solid lesions were low-level internal echoes and the cystic lesions were no internal echoes with strong posterior acoustic enhancement in ultrasound. Of 3 patients with cysts, on T1WI the cysts were low signal intensity but were very high on T2W1. Conclusions; The many kinds of imaging findings can reflect the complex pathologic characteristic in mammary hyperplasia. Mammography combined ultrasound and MR inspection has the very vital significance to diagnosis and differentiate mass lesions. The selective galactography is very helpful in diagnosis for patients with nipple discharge.
中文关键词	乳腺增生症 ; 钼靶X线检查 ; 选择性乳腺导管造影 ; 超声
英文关键词	MRI mammary hyperplasia x-ray mammography selective galactography ultrasound MRI
语种	中文
国家	中国
收录类别	CSCD
WOS类目	MEDICINE GENERAL INTERNAL
WOS研究方向	General & Internal Medicine
CSCD记录号	CSCD:2849031
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/221893
作者单位	西安交通大学医学院第一附属医院影像中心, 西安, 陕西 710061, 中国
推荐引用方式 GB/T 7714	杜红文,张毅力,张蕴,等. 乳腺增生症的影像学诊断[J],2007,15(4):270-273.
APA	杜红文,张毅力,张蕴,张月浪,&徐贵平.(2007).乳腺增生症的影像学诊断.,15(4),270-273.
MLA	杜红文,et al."乳腺增生症的影像学诊断".15.4(2007):270-273.