摘要
目的:分析乳腺分叶状肿瘤(PTB)的全数字化乳腺摄影(FFDM)表现,以提高对该病的认识。方法:回顾性分析经手术病理证实的25例PTB的FFDM表现及临床资料,并与病理学分级结果相对照。结果:(1)25例PTB患者中,病理学分级为良性、交界性、恶性的百分比依次为40%、16%、44%;(2)FFDM主要表现为分叶状肿块,占88%;肿块边缘呈部分光整部分模糊为主,占64%;肿块最长径多大于3 cm,占68%;肿块周围异常血管显示率为68%;肿块伴钙化的发生率为24%,以良性多见,多表现为粗大散在斑状钙化;(3)FFDM诊断与病理诊断符合率为68%。结论:FFDM表现对PTB的诊断具有一定的指导意义。
Objective： To study the full-field digital mammography（FFDM） characteristics of the breast phyllode tumor（PTB） for enhancing the diagnosis of the disease.Methods： Clinical and FFDM manifestations were retrospectively reviewed in twenty-five women confirmed by surgical pathology.Results：（1） The histologic grades of all cases were respectively benign 40.0%,borderline 16.0% and malignant 44.0%.（2） 88% of cases showed lobulated mass;64% of cases manifested partly well-defined margin and partly obscured margin and 68% of tumors grew larger than 3 cm in diameter;the abnormal blood vessel demonstration of PTB was 68%;the calcification rate of PTB was 24%,which was more often seen in benign cases,Most calcifications were large and coarse and some of them manifested pleomorphic calcification.（3） The diagnostic coincidence rate of full-field digital mammography and pathology was 68%.Conclusion： FFDM is helpful for the diagnosis of breast phyllode tumors.
出处
《现代医学》
2011年第6期631-634,共4页
Modern Medical Journal
关键词
分叶状肿瘤
乳腺
全数字化乳腺摄影
病理
phyllode tumor
breast
full-field digital mammography
pathology
