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中华医学超声杂志（电子版）

中华医学超声杂志（电子版） ›› 2024, Vol. 21 ›› Issue (05) : 505 -510. doi: 10.3877/cma.j.issn.1672-6448.2024.05.009

浅表器官超声影像学

乳腺错构瘤的临床与超声影像学特征分析
席芬1, 张培培2, 孝梦甦2, 刘真真2, 张一休2,†(), 张璟2, 朱庆莉2, 孟华2   
  1. 1. 100730　中国医学科学院　北京协和医学院　北京协和医院　协和转化医学中心超声医学科;510180　广州市第一人民医院　华南理工大学第二附属医院超声医学科
    2. 100730　中国医学科学院　北京协和医学院　北京协和医院　协和转化医学中心超声医学科
  • 收稿日期:2023-12-15 出版日期:2024-05-01
  • 通信作者: 张一休
  • 基金资助:
    中央高水平医院临床科研业务费资助(2022-PUMCH-A-028)

Clinical and ultrasonographic features of breast hamartoma

Fen Xi1, Peipei Zhang2, Mengsu Xiao2, Zhenzhen Liu2, Yixiu Zhang2,†(), Jing Zhang2, Qingli Zhu2, Hua Meng2   

  1. 1. Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China;Department of Ultrasound, Guangzhou First People's Hospital, the Second Affiliated Hospital of South China University of Technology, Guangzhou 510180, China
    2. Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
  • Received:2023-12-15 Published:2024-05-01
  • Corresponding author: Yixiu Zhang
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席芬, 张培培, 孝梦甦, 刘真真, 张一休, 张璟, 朱庆莉, 孟华. 乳腺错构瘤的临床与超声影像学特征分析[J]. 中华医学超声杂志（电子版）, 2024, 21(05): 505-510.

Fen Xi, Peipei Zhang, Mengsu Xiao, Zhenzhen Liu, Yixiu Zhang, Jing Zhang, Qingli Zhu, Hua Meng. Clinical and ultrasonographic features of breast hamartoma[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(05): 505-510.

目的

探讨乳腺错构瘤的临床及超声影像学特征。

方法

回顾性分析2002年7月至2023年6月北京协和医院经手术治疗且病理证实的60例乳腺错构瘤患者共61个病灶的临床资料和超声影像学检查结果，并总结其特征。

结果

所有患者均为女性，年龄为（44.1±11.9）岁。乳腺错构瘤好发于乳腺外侧象限，最大径中位数为3.20 cm，超声表现多样化。典型的乳腺错构瘤声像图特征为：形态规则，边界清晰，病灶内以低回声为主，混杂相间条状或带状高回声，彩色多普勒血流不丰富。

结论

乳腺错构瘤具有一定的临床和超声影像学特征，超声检查作为首选的诊断方法，可为临床诊治提供重要的参考信息。

关键词: 乳腺, 错构瘤, 超声检查
Objective

To analyze the clinical and ultrasonographic features of breast hamartoma.

Methods

A retrospective analysis was conducted on 61 lesions of 60 female patients with pathologically confirmed breast hamartoma who underwent surgical treatment at Peking Union Medical College Hospital from July 2002 to June 2023. The clinical data and ultrasonographic examination results were reviewed, and the characteristics of breast hamartoma were summarized.

Results

All patients were female with an average age of (44.1±11.9) years. Breast hamartomas were predominantly located in the outer quadrants of the breast, with a medium diameter of 3.20 cm. The ultrasonographic features varied among cases. Typical sonographic characteristics of breast hamartoma included regular shape, clear borders, predominantly hypoechoic interior with intermingled linear or band-like hyperechoic areas, and poor vascularity on color Doppler imaging.

Conclusion

Breast hamartoma has certain clinical and sonographic characteristics. Ultrasonography is the preferred diagnostic method for breast hamartoma, providing important information for clinical diagnosis and treatment.

Key words: Breast, Hamartoma, Ultrasound
图1 27岁女性患者乳腺巨大错构瘤超声图像。图a全景成像示左乳见巨大混合回声包块，占据大部分乳腺区域，测量游标所示肿物最大径为14.2 cm；图b：病灶边界清晰（箭头所示），于病灶旁显示被推挤的正常腺体；图c：彩色多普勒成像示包块内见少许点状血流信号
图2 患者，女性，27岁，无意间自行触及左乳肿物2年。图a灰阶超声示：肿物大小3.8 cm×1.9 cm，边界清晰，内部回声明显紊乱、不均匀，可见低回声及中高回声，呈“乳中乳”改变；图b彩色多普勒成像示病灶周边及内部见少许点条状血流信号
图3 患者，女性，48岁，体检发现左乳肿物1年。图a灰阶超声示：左乳3点方向低回声，2.5 cm×0.8 cm，边界清晰，形态规则，内部为均匀低回声；图b彩色多普勒成像示病灶内见点条状血流信号
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