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目的总结乳腺纤维腺瘤与囊肿的X线特征,提高诊断及鉴别能力。方法回顾28例纤维腺瘤和26例囊肿的X线特征及BI-RADS分级。结果两者均多为类圆形(45.45%和41.18%)或圆形(12.12%和23.53%),不典型者为斑片状密影(21.21%和26.47%)。病变边界多为部分清晰(45.45%和55.88%)或完全清晰(33.33%和14.71%),少量不清晰(21.21%和29.41%)。大部分归为BI-RADS 2级(39.28%和23.08%)和3级(23.08%和53.85%)。两者各项X线特征比较无明显差异(P值>0.05)。结论纤维腺瘤和囊肿多具X线特征,易作出BI-RADS2、3级的诊断,但需注意其不典型表现。单凭X线征象鉴别两者是困难的。
Objective To summarize the X-ray features of breast fibroadenoma and cyst and improve the ability of diagnosis and differentiation. Methods 28 cases of fibroadenoma and 26 cases of cyst X-ray features and BI-RADS classification. Results Both were mostly round (45.45% and 41.18%) or round (12.12% and 23.53%), atypical were patchy (21.21% and 26.47%). Lesions were mostly clear (45.45% and 55.88%) or completely clear (33.33% and 14.71%), a small amount of unclear (21.21% and 29.41%). Most were classified as BI-RADS Level 2 (39.28% and 23.08%) and Level 3 (23.08% and 53.85%). The two X-ray features no significant difference (P value> 0.05). Conclusions Fibroadenoma and cyst mostly have X-ray features, which makes it easy to diagnose BI-RADS2 and stage 3, but we should pay attention to the atypical manifestations. It is difficult to distinguish the two by X-ray alone.