图像检查中受损乳房植入物的错误阳性诊断:两例病例的报告
Makoto Shimabukuro1,2, Naohiro Ishii1,2, Takanori Ko1
1Department of Plastic and Reconstructive Surgery, International University of Health and Welfare Hospital, Tochigi, Japan.
Gland surgery
|November 29, 2023
概括
图像检测结果可能表明乳房植入物 (SBI) 失败,但文物可能导致错误的阳性. 两个案例强调,在手术期间可能无法证实对成像中的疑似SBI损伤,强调需要通知患者完整的植入物.
科学领域:
- 医疗成像医学成像
- 放射学 放射学是一门学科.
- 乳房重建 乳房重建
背景情况:
- 乳房植入物 (SBI) 是持久的,但需要定期成像来检测潜在的破裂,因为症状可能不会明显.
- 一些成像发现表明SBI失败,但文物可以模仿这些迹象.
- 缺乏关于损坏的SBI的错误阳性诊断的详细报告.
研究的目的:
- 根据成像发现,提出两起疑似乳房植入器失败的案例,最终没有得到证实.
- 为了说明成像文物如何导致SBI损伤的错误阳性诊断.
主要方法:
- 案例1:超声波显示了一个梯子标志,MRI显示了一个沙拉油标志,表明SBI失败. 术后检查显示没有骨折.
- 案例2:超声波显示了亚囊线标志,MRI证实了钥匙孔标志,表明SBI失败. 术后检查显示没有骨折.
主要成果:
- 在这两种情况下,成像表明乳房植入物失败.
- 病例1的手术内发现表明液体保留,但没有植入物骨折.
- 病例2的手术内发现显示出血清性输液,血块和纤维状物质,导致虚假阳性成像诊断.
结论:
- 基于成像的疑似乳房植入物骨折可能是人造物.
- 考虑为怀疑植入物衰竭进行手术的患者应被告知有关完整植入物的可能性.
- 仔细解释成像检测结果至关重要,以避免不必要的干预.
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