乳房疼痛与恶性瘤的关联
Anna I Holbrook1, James Zhang2, Kelly D'amico3
1Emory University, Department of Radiology and Imaging Science, Emory University, Atlanta, GA.
Journal of breast imaging
|March 1, 2024
概括
乳房疼痛很少表明癌症,尤其是当隔离时. 仅仅针对乳腺疼痛进行成像可能是不必要的,因为恶性瘤的风险很低,并且与查性乳房扫描率相似.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 乳房成像 乳房成像
背景情况:
- 乳房疼痛是医学成像检查的常见原因之一.
- 现有的文献表明,在孤立的乳腺疼痛的情况下,恶性瘤的发病率很低.
研究的目的:
- 为了确定患有乳腺疼痛的患者患乳腺癌的风险.
- 为了将这种风险与在常规查性乳房扫描中观察到的癌症检测率进行比较.
主要方法:
- 对2013年11月至2016年7月期间有乳腺疼痛病史的患者进行了回顾性分析.
- 包括至少有两年随访的患者.
- 计算恶性瘤的发病率,并与查性乳房扫描数据进行比较,使用奇平方测试.
主要成果:
- 在421名患者中,4名 (1.0%) 被诊断为疼痛部位的癌症 (9.5/1000).
- 查乳房扫描癌症检测率为7.3/1000,这一差异在统计学上并不显著 (P = 0.403).
- 所有恶性瘤都与明显的异常有关;在患有孤立疼痛的患者中没有发现癌症.
结论:
- 乳腺疼痛患者的恶性瘤发病率与查乳房扫描率没有显著差异.
- 没有明显异常的孤立乳腺疼痛与恶性瘤无关.
- 仅用于评估乳腺疼痛的常规成像可能不必要.
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