炎症性皮肤变化从一个小的0.9厘米初级乳腺癌最初的成像没有看到:一个案例报告
Dallin Judd1, Brenton Stucki1, Jake Oldham1
1Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, USA.
Cureus
|June 26, 2023
概括
炎症性乳腺癌通常呈现出大型瘤. 这一案例突显了一个罕见的发炎性乳腺癌病例,该病例是在一个小小的原发性瘤小于1厘米的患者身上诊断出来的.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是指放射学
- 病理学 病理学 病理学
背景情况:
- 炎症性乳腺癌 (IBC) 是一种侵袭性乳腺癌形式.
- IBC通常通过乳房影像和超声波来诊断,通常呈现出明显的放射性迹象.
研究的目的:
- 报告一种罕见的炎症性乳腺癌 (IBC) 病例,其原发性瘤小.
- 为了说明在这种情况下使用的诊断挑战和成像模式.
- 为了强调IBC可以呈现最小或无可触摸的质量.
主要方法:
- 一个54岁的女性患有乳房疼痛和胀的病例报告.
- 最初的成像包括乳房影像和超声波,揭示了皮肤加厚和异常的淋巴结,没有明显的质量.
- 磁共振成像 (MRI) 和超声波引导的核心活检对于识别小原发性瘤和确认诊断至关重要.
主要成果:
- 患者出现了暗示IBC的症状,但没有明显的质量.
- 乳房影像和超声波显示炎症变化和淋巴结异常.
- 磁力共振扫描检测出一个小的0.9厘米质量,随后通过超声导向活检确认为侵袭性导管细胞癌.
结论:
- 炎症性乳腺癌很少与小小的原发性瘤 (<1厘米) 相关.
- 当初始的乳腺造影和超声波检查尽管有IBC的临床迹象,但结果不确切时,可能需要像MRI这样的高级成像.
- 这一案例强调了在诊断炎症性乳腺癌时考虑非典型表现的重要性.
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