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哺乳期腺瘤的放射和病理相关性

Hoiwan Cheung¹, Elizabeth U Parker², Mark R Kilgore²

¹University of Washington, Department of Radiology, Seattle, WA.

Journal of breast imaging

|March 1, 2024

概括

哺乳期腺瘤是孕妇或产后妇女的良性乳腺病变. 虽然在超声波上通常看起来是良性的,但它们的可变成像需要精心的放射科医生评估来区分与癌症.

科学领域:

放射学放射学是一门学科.
乳房成像乳房成像
病理学病理学病理学

背景情况:

哺乳期腺瘤是孕妇,哺乳期和产后妇女特有的良性乳腺病变.
它们的确切起源仍在争论中,关于它们是超可塑性还是瘤性,没有共识.
这些病变没有固有的恶性潜力.

研究的目的:

描述哺乳期腺瘤的成像和组织学特征.
强调识别可能模仿恶性瘤的可变外观的重要性.
为怀孕和哺乳期妇女带有可触摸的乳腺质量指导适当的管理策略.

主要方法:

对哺乳期腺瘤的超声波成像特征的审查.
组织学发现的描述.
讨论差异诊断,包括与怀孕相关的乳腺癌.

主要成果:

传统上,哺乳期腺瘤呈现为固体,周边,平行质量,具有iso/hypoechoic回声纹理和超声波后部增强.
在组织学上,它们呈现为带有叶状和哺乳期变化的有限结节.
一些哺乳期腺瘤表现出与恶性瘤重叠的特征,例如非有限的边缘.

结论:

具有可能良性的成像特征 (圆形,环形,平行,异形/低音) 的质量可以通过短间隔的随访 (BI-RADS 3) 进行管理.
当成像特征与怀孕相关的乳腺癌重叠时,活检是必要的.
乳腺成像放射科医生必须了解哺乳期腺瘤的各种表现,以便进行准确的诊断和管理.

关键词:

哺乳期腺瘤是什么意思乳房超声波乳房超声波是什么?哺乳期哺乳期哺乳期病理学的病理学

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