目的探讨乳腺巨大纤维腺瘤的钼靶X线表现,旨在提高对本病的认识。方法回顾性分析7例乳腺巨大纤维腺瘤的X线表现,并结合文献复习。结果有4例肿块密度均匀增高,边界清楚,压迫乳腺结构向周围移位,2例肿块为等密度或略低密度,与腺体的略高密度之间形成较模糊界限,只显示肿块的轮廓,6例肿块前部边缘清楚,3例肿块的后部边缘清楚,3例肿块的后部界限不清。7例均未发现钙化影.所有病例均无皮肤增厚、血管增粗征象。7例均经手术和病理证实。7例乳腺巨大纤维腺瘤患者均经手术及病理证实。结论巨大纤维瘤依据其肿块大,发病年龄小,钼靶X线表现典型,临床征症状轻微等特点,一般可做出诊断。 Objective To investigate the mammography of mammillary giant fibroadenoma in order to improve the understanding of this disease. Methods The X-ray findings of 7 cases of giant fibroadenoma of the breast were retrospectively analyzed and reviewed. Results In 4 cases, the density of the tumor was uniformly increased, the boundary was clear, the structure of the mammary gland was displaced to the surroundings, two tumors were isodense or slightly densified, forming a rather fuzzy boundary with slightly higher density of the gland, showing only the outline of the tumor The anterior margin was clear in 6 cases, the posterior edge of 3 cases was clear, and the posterior part of 3 cases was unclear. No calcification was found in all 7 cases, and no signs of skin thickening or thickening of blood vessels were found in all cases. 7 cases were confirmed by surgery and pathology. Seven cases of breast giant fibroadenoma were confirmed by surgery and pathology. Conclusions According to the characteristics of huge tumor, small age of onset, typical mammography X-ray findings and mild clinical symptoms, giant fibroma can be diagnosed.