Cheung Yun Chung, Su Min Ying, Ng Shu Hang, Lee Kam Fai, Chen Shih Cheh, Lo Yung Feng
Department of Diagnostic Radiology, Chang Gung Memorial Hospital, 5 Fu-Hsing Street, Kwei Shan, Tao Yuan Hsien, Taiwan.
Clin Imaging. 2002 Nov-Dec;26(6):397-404. doi: 10.1016/s0899-7071(02)00453-9.
Clinical images emphasizing on magnetic resonance imaging (MRI) characteristics of silicone-injected breasts with microscopic correlation were presented. A total of 16 patients with a history of silicone injection breast augmentation received MRI examinations due to palpable masses were reviewed. MRI enables the demonstration of the characteristic MR intensities in silicone-injected breasts. Four breast cancers were accurately detected by the enhancement technique including the cancers admixing within the fibrosis and silicone granuloma. This article can document the excellent ability of MRI with high microscopic correlation in examining these clinical, mammographic and ultrasonographic difficult cases. Understanding the MRI features is helpful to approach these patients. On the other hand, these illustrations indicated the importance of enhancement technique in detecting the cancers and in differentiating the angiogenic lesions from nonenhanced silicone granulomas.
展示了强调注射硅酮乳房的磁共振成像（MRI）特征并与显微镜检查结果相关的临床图像。对16例有注射硅酮隆乳病史且因可触及肿块而接受MRI检查的患者进行了回顾。MRI能够显示注射硅酮乳房的特征性MR信号强度。通过增强技术准确检测出4例乳腺癌，包括混杂在纤维化和硅酮肉芽肿内的癌症。本文可以证明MRI在检查这些临床、乳腺X线摄影和超声检查困难病例方面具有高度微观相关性的卓越能力。了解MRI特征有助于处理这些患者。另一方面，这些图示表明了增强技术在检测癌症以及区分血管生成性病变与未增强的硅酮肉芽肿方面的重要性。
