评估急性乳头倒置,成像发现和结果
Kyle M Hatcher1, Amie Leon1, Lauren F Cornell2
1Mayo Clinic Florida, Department of Radiology, 4500 San Pablo Rd, Jacksonville, FL 32224, USA.
Clinical imaging
|August 1, 2024
概括
新的乳头倒置可能令人担忧,但诊断性乳房影像和超声波是检测恶性瘤的可靠工具. 乳房MRI通常只用于有可疑症状或临床发现的病例.
科学领域:
- 放射学 放射学是一门学科.
- 乳房成像 乳房成像
- 在瘤学瘤学.
背景情况:
- 急性乳头倒置是患者的一个令人担忧的症状.
- 它可能与乳腺恶性瘤有关,这给诊断带来了挑战.
- 目前的管理准则缺乏共识.
研究的目的:
- 审查新乳头倒置的机构经验.
- 分析恶性关联,成像利用和患者的结果.
- 为了改善急性乳头倒置的管理.
主要方法:
- 乳腺成像报告的回顾性审查 (1/2010-6/2022).
- 包括患有新乳头倒置的患者.
- 收集了反射影像成像发现,BI-RADS评估,病理学和后续数据.
主要成果:
- 确定了414名患有新的乳头倒置的患者.
- 6.5%的病例 (27/414) 与恶性病变有关.
- 诊断性乳房影像/超声波显示了恶性瘤的高灵敏度 (92.6%) 和NPV (99.3%).
结论:
- 诊断性乳房影像/超声波对于评估急性乳头倒置是可靠的.
- 这些模式显示出高灵敏度和NPV,用于排除恶性瘤.
- 乳房MRI和外科转诊应保留在可疑的临床发现.
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