怀孕和哺乳期良性和恶性乳腺疾病:一个诊断挑战
Anila Rahim1, Mahnoor Hafeez1, Amjad Sattar1
1Department of Radiology, Dow Institute of Radiology, Dow University of Health Sciences, Karachi, Pakistan.
JPMA. The Journal of the Pakistan Medical Association
|July 10, 2023
概括
怀孕相关的乳腺癌很少见,大多数哺乳期乳腺块都是良性的. 超声波有效评估孕妇和哺乳期妇女的乳腺病变,帮助诊断.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 产科和妇科 产科和妇科
背景情况:
- 怀孕和哺乳期的乳腺癌存在诊断方面的挑战.
- 早期检测和准确的评估对于母亲和胎儿的健康至关重要.
研究的目的:
- 为了确定与怀孕相关的乳腺癌的发病率.
- 评估超声波在怀孕和哺乳期间评估乳腺病变的诊断准确性.
主要方法:
- 一项描述性观察性研究包括怀孕和哺乳期妇女与乳腺块.
- 超声波评估包括病变特征和乳腺成像报告和数据系统 (BI-RADS) 的分级.
- 对BI-RADS等级IV和V的病变进行了超声波引导的核心针活检.
主要成果:
- 在237名妇女中,8%是怀孕的,92%是哺乳期的.
- 在怀孕和哺乳期妇女之间,超声波发现有显著差异 (p=0.05).
- BI-RADS等级III,IV和V的病变显示出与异质回声纹理的显著关联 (p<0.001).
- 组织病理学证实了60%的活检病例的良性结果.
结论:
- 怀孕和哺乳期与各种良性和恶性乳腺疾病有关.
- 超声波是鉴定乳腺病变的宝贵工具.
- 虽然恶性瘤可能发生,但良性疾病在孕妇和哺乳期妇女中更为频繁.
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