乳腺结节作为胸部计算机断层扫描中的偶然发现:对其频率和预测价值的回顾性分析
Maria Francesca Agliata1,2, Naomi Calabrò3,4, Stefano Tricca3,4
1SCDU Radiodiagnostica, Ospedale Maggiore della Carità, Novara, Italy. francesca.agliata92@gmail.com.
La Radiologia medica
|July 4, 2023
概括
胸部CT扫描中的偶然乳腺结节发生在0.21%的病例中. 特定的CT特征,如不规则的边缘和对比度后增强,可以暗示恶性瘤,有助于早期检测.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 在胸部CT扫描中偶然发现乳腺结节并不常见.
- 早期发现乳腺癌对于改善患者的治疗结果至关重要.
研究的目的:
- 为了确定胸部CT扫描中偶然发现的乳腺结节的发生率.
- 为了将特定的CT成像特征与乳房影像和组织病理学发现相关联.
主要方法:
- 分析了42,864个胸部CT扫描,以检测偶然的乳腺结节.
- 检测到结节的68名患者接受了乳房影像,超声波和活检.
主要成果:
- 在0.21%的胸部CT扫描中偶然发现了乳腺结节.
- CT特征如对比后增强,不规则的边缘,乳头收缩,皮肤加厚和可疑的淋巴结与恶性瘤相关.
- 这些特征预测了BI-RADS 5分类和活检确认的恶性瘤.
结论:
- 胸部CT偶然的乳腺结节的发病率很低.
- 特定的CT成像特征可以引起对恶性瘤的怀疑.
- 当这些特征存在于患有癌症相关工作诊断的患者中时,放射学怀疑会增强.
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