在怀孕和哺乳期进行乳房成像和干预
Molly S Peterson1, Alison R Gegios1, Mai A Elezaby1
1From the Department of Radiology (M.S.P., A.R.G., M.A.E., L.R.S., R.W.W., A.K.N., R.M.S., A.M.F.), Department of Medical Physics (L.R.S., R.M.S., A.M.F.), and Department of Pathology and Laboratory Medicine (M.R.), University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, Madison, WI 53792-3252; and University of Wisconsin Carbone Cancer Center, Madison, Wis (A.K.N., R.M.S., A.M.F.).
怀孕和哺乳期间进行乳腺癌查具有挑战性,但对于及时诊断至关重要. 包括超声波和乳房扫描在内的成像协议可以安全地适应孕妇和哺乳期患者,以确保精确的乳腺癌检测.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 妇女健康 妇女健康
背景情况:
- 怀孕和哺乳期引发了显著的乳腺变化,使癌症查和诊断复杂化.
- 怀孕相关乳腺癌的延迟诊断与患者不良结果有关.
研究的目的:
- 为孕妇和哺乳期患者进行乳腺癌查和诊断制定安全有效的成像方案.
- 强调区分生理学乳腺变化与瘤状况的重要性.
主要方法:
- 使用超声波 (美国) 作为有症状的孕妇的主要成像方法,如果有指示,然后进行乳房影像.
- 在哺乳期妇女中采用基于年龄和风险的诊断成像策略,包括美国和乳房影像.
- 建议在怀孕期间不要进行乳房MRI,因为加多对比性问题.
主要成果:
- 超声波是怀孕妇女有临床症状的首选初始成像工具.
- 哺乳期妇女的诊断成像反映了非孕妇的诊断成像,模式的选择取决于年龄.
- 乳房MRI是允许的高风险查和分期在哺乳期妇女.
结论:
- 量身定制的成像协议可以安全地解决怀孕和哺乳期间的乳腺癌查和诊断挑战.
- 了解怀孕相关乳腺变化的成像特征对于准确诊断至关重要.
- 在这些期间,建议对可疑的发现或未解决的质量进行活检.
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