对BI-RADS 3群体的年轻,平均风险女性的后续建议
Katie Shpanskaya1, Derek L Nguyen1, Lars J Grimm1
1Department of Radiology, Duke University School of Medicine, Duke University, Durham, NC, USA.
Journal of breast imaging
|November 11, 2025
概括
在35岁以下的年轻女性中,没有发现BI-RADS 3乳腺质量的癌症. 对于这些可能是良性的发现,一次6个月的超声波随访可能就足够了.
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:
- 在BI-RADS 3评估中,超声波显示可能有良性发现.
- 患有BI-RADS 3质量的年轻女性 (<35岁) 需要明确的后续指导方针.
研究的目的:
- 为了评估BI-RADS3恶性瘤的发病率和结果,在35岁以下的女性中进行了乳腺质量测试.
- 为了确定这些病变的最佳随访间隔.
主要方法:
- 对35岁以下的女性患者进行了回顾性队列研究,在超声波上对BI-RADS 3质量进行了研究.
- 纳入标准:平均风险,6个月的随访超声波和≥18个月的成像或活检.
- 收集的数据:病变特征,后续评估和病理学结果.
主要成果:
- 191名患者 (228个病变) 符合纳入标准;平均年龄为26.4岁.
- 大多数病变稳定 (56%) 或消失 (8%).
- 在71个活检病变中没有检测到恶性瘤;所有都是纤维腺瘤.
结论:
- 在35岁以下的女性中,BI-RADS 3质体的恶性瘤率为0%.
- 一次为期6个月的超声波随访可能是足够的,随后进行临床监测.
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