摘要
目的:探讨男性乳腺发育症和男性乳腺癌的X线、超声征象。方法:收集2007年3月—2017年12月经手术或穿刺病理证实的13例男性乳腺发育症和6例男性乳腺癌,男性乳腺发育症患者平均年龄54.1岁,男性乳腺癌患者平均年龄57.5岁。10例男性乳腺发育症病灶触之柔软;余3例男性乳腺发育症及所有6例男性乳腺癌触之质硬,活动度差。2例男性乳腺癌初诊时即有乳头血性溢液,5例男性乳腺癌皮肤局限性或弥漫性皮肤增厚,3例伴乳头内陷。13例男性乳腺发育症患者皮肤无任何改变。1例男性乳腺癌患者其母亲有乳腺癌病史。结果:3例男性乳腺发育症表现为乳晕下区不规则肿块影,边缘不光整;其余10例均表现为中心性生长的非对称性局灶性致密影。6例男性乳腺癌均表现为单纯肿块,边界清晰锐利。其中2例为分叶形;4例为不规则形,见短毛刺。5例男性乳腺癌的乳房皮肤局限性增厚,4例乳头内陷,1例合并细小多形性钙化,局部供血血管增粗,腋窝淋巴结肿大。1例男性乳腺发育症和6例男性乳腺癌在超声上均显示为实性低回声团;其余11例男性乳腺发育症表现为腺体样回声。结论:男性乳腺发育症大部分表现为腺体样致密影,少见情况下可为孤立性结节或肿块,需与不伴特征性钙化的男性乳腺癌鉴别,超声二维成像和弹性成像可作为很好的补充。
Objective： To explore the X-ray and ultrasonic features of male breast development and male breast cancer. Methods： From Mar. 2007 to Dec. 2017, 13 cases of male breast development（mean age of 54.1 years） and 6 cases of male breast cancer（mean age of 57.5 years） were chosen. The lesions in 10 cases of male breast development were soft, and in 3 cases of male breast development and 6 cases of male breast cancer were hard. Among 6 cases of male breast cancer, 2 had nipple discharge, 5 had local or diffuse skin thickening, 3 had crater nipple. No changes were observed in 13 patients with male breast development. The mother of one male breast cancer case had a history of breast cancer. Results： Three cases of male breast development showed irregular mass with non-sharp edges in the lower areola. The other 10 cases were characterized by non-symmetrical focal density shadows with centric growth. All six cases of male breast cancer had simple lumps with clear boundary and sharp edges, and 2 were leafshape, 4 were irregular with short burrs. There were 5 cases of male breast cancer with skin thickening of the breast, 4 with crater nipple, and 1 with fine polymorphous calcifications, thickened local blood vessels and axillary lymph node enlargement. Ultrasound showed low-echo mass in 1 case of male breast development and 6 cases of male breast cancer. The other 11 cases of male breast development were characterized by gland-like echoes. Conclusion： Mostmale breast development is characterized by gland-like density shadows, but rare cases could provide isolated nodules or masses, which should be distinguished from male breast cancer without characteristic calcifications. Two-dimensional ultrasound imaging and elastic imaging can be served as a good complement.
作者
谢玉蓉
龙力
席珊珊
史天亮
XIE Yurong;LONG Li;XI Shanshan;SHI Tianliang(Department of Radiology,Maternal and Child Health Hospital of Tongren City,Tongren 554300,Guizhou Province,China;Department of Radiology,Tongren People＇s Hospital,Tongren 554309,Guizhou Province,China)
出处
《肿瘤影像学》
2018年第3期193-197,共5页
Oncoradiology
基金
铜仁市科技计划项目[铜市科研(2015)6-1]
关键词
男性乳腺发育症
男性乳腺癌
X线
超声
Male breast development
Male breast cancer
X-ray
Ultrasound
