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儿童乳房超声波的评估更少是更多:一个实用的成像方法
Elisabetta Giannotti1,2, Rachel Sun2, Nuala Healy1,3,4
1Cambridge Breast Unit, Cambridge University Hospital NHS Foundation Trust, Cambridge, UK.
Acta radiologica (Stockholm, Sweden : 1987)
|October 16, 2024
概括
乳腺癌在儿童中非常罕见. 如果临床乳房检查正常,乳房超声波 (US) 可以安全地省略,在超过一半的儿科病例中可能避免不必要的成像.
科学领域:
- 儿科放射学 儿科放射学
- 乳房成像 乳房成像
- 在瘤学瘤学.
背景情况:
- 乳腺癌在儿科患者中非常罕见.
- 乳房超声波 (US) 经常用于评估症状的儿科乳房疾病.
研究的目的:
- 为了确定小儿乳腺患者的活检和癌症检测率.
- 评估某些儿科病例中遗漏乳房超声波 (US) 的可能性.
主要方法:
- 在5年内接受乳房超声波检查的579名儿科患者 (<19岁) 的回顾性审查.
- 收集的数据包括临床表现,临床评估得分 (P1-5),超声检查结果 (U1-5),以及活检或手术后的病理学结果 (B1-5).
- 分析了活检和癌症检测率,以评估乳腺US的诊断效用.
主要成果:
- 在579名患者中,560人是女孩,52%的超声波显示正常结果 (U1).
- 最常见的发现是男孩的妇产不良以及女孩的明确质量.
- 没有检测到恶性病变;活检 (1%) 和手术切除 (5%) 显示了良性疾病,如纤维腺瘤和瘤.
结论:
- 乳腺恶性瘤在儿童群体中非常罕见.
- 在正常的临床检查的情况下,可以安全地省略乳房超声波 (US).
- 在这种情况下,省略US可能会在52%的研究队列中避免程序.
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