论文部分内容阅读
目的:探讨影像检查在乳腺增生诊断与鉴别诊断中的作用。方法:分析37例乳腺增生症患者的临床和影像学表现。37例均做了钼靶X线摄影检查,其中10例做了选择性乳腺导管造影、5例超声检查和2例核磁共振检查。结果:37例钼靶X线平片检查表现为片状高密度影22例(59.5%)、结节影9例(24.3%)、无异常发现者6例(16.2%)。10例乳头溢液患者中选择性乳腺导管造影表现为囊肿型4例,囊肿伴导管硬化型3例,导管增生硬化型1例,终末导管囊性扩张型1例。5例肿块性患者的超声表现为实性病变4例,呈低回声。囊性病变1例,呈无回声液性暗区,伴有明显的后回声增强效应。1例乳腺囊肿,T1W1呈均匀低信号,T2W1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。
Objective: To investigate the role of imaging in the diagnosis and differential diagnosis of breast hyperplasia. Methods: Clinical and radiographic findings in 37 patients with hyperplasia of mammary glands were analyzed. Thirty-seven patients underwent mammography. Ten patients underwent selective breast ductography, five cases of ultrasound and two cases of MRI. Results: Twenty-eight cases (59.5%) had high-density lamellar examination, 9 cases (24.3%) had nodular hyperplasia, and 6 (16.2%) had no abnormal findings in 37 cases of mammography. Among 10 patients with nipple discharge, selective breast ductography showed cyst type in 4 cases, cyst type in ductal sclerosis in 3 cases, ductal hyperplasia in 1 case, terminal ductal cystic dilatation in 1 case. Five cases of lumpy patients showed solid lesions in 4 cases, showed hypoechoic. Cystic lesions in 1 case, were anechoic dark areas, with significant post-echogenic enhancement effect. 1 case of cyst, T1W1 showed a uniform low signal, T2W1 showed a uniform high signal. Conclusion: The multiple imaging findings of hyperplasia of mammary glands reflect its complex and diverse pathological features. The combination of mammography and ultrasonography and MRI in the diagnosis and differential diagnosis of mass lesions is of great significance.