在高风险妇女怀孕和哺乳期间进行乳腺癌查
Leah H Portnow1,2, Lauren C Snider1, Kimberly E Bolivar1
1Brigham and Women's Hospital, Department of Radiology, Boston, MA, USA.
Journal of breast imaging
|February 28, 2024
概括
高风险女性需要专门的乳腺癌查,即使是在怀孕和哺乳期间. 本综述澄清了这些独特患者群体的成像指南.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 妇女健康 妇女健康
背景情况:
- 高风险女性往往比平均风险人群更早开始进行乳腺癌查.
- 高风险妇女的查建议经常延伸到生育年龄,包括怀孕和哺乳期.
- 怀孕和哺乳期间的生理变化可能会影响乳房成像模式的准确性.
研究的目的:
- 审查目前的证据和专家指南,以对高风险的孕妇和/或哺乳期妇女进行乳腺成像查.
- 讨论乳腺癌在这个特定的人群中的临床和成像表现.
- 为了解决由于怀孕和哺乳期间生理变化的成像解释方面的挑战.
主要方法:
- 审查科学文献和现有指导方针.
- 对高风险孕妇/哺乳期妇女的乳腺成像方法 (乳房影像,超声波,MRI) 的数据分析.
- 讨论这一群体中乳腺癌的临床和成像发现.
主要成果:
- 关于不同成像方法在怀孕和哺乳期间的基于证据的作用的数据有限.
- 关于诊断准确性的假设往往是由于生理变化造成的.
- 高风险孕妇/哺乳期妇女查的指导方针和数据正在不断发展.
结论:
- 对高风险的孕妇和哺乳期妇女进行适当的乳腺癌查需要仔细考虑现有的数据和指南.
- 了解这些时期的成像解释细微差别对于准确的诊断至关重要.
- 需要进一步的研究来建立最终的基于证据的实践.
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