Schelfout Katrien, Kersschot E, Van Goethem M, Thienpont L, Van den Haute J, Roelstraete A, De Schepper A
Department of Radiology, University Hospital Antwerp, Wilrijkstraat 10, 2650 Wilrijk, Belgium.
Eur Radiol. 2003 Sep;13(9):2128-32. doi: 10.1007/s00330-002-1674-x. Epub 2002 Nov 19.
Bilateral invasive breast cancers were detected on MR imaging in a patient with left unilateral axillary lymphadenopathy and normal findings at physical examination, mammography, and ultrasound of both breasts. One spiculated and a second ill-defined enhancing lesion in the left breast as well as a superficial circumscribed lesion in the right breast were proven to be invasive malignancies. In patients with isolated axillary lymph nodes and occult primary malignancy, breast MRI can identify or exclude the breast as primary site, which proves the superiority and diagnostic benefit of this imaging method and also its contribution to the therapeutic approach.
在一名患者中，磁共振成像（MR）检测到双侧浸润性乳腺癌，该患者左侧腋窝淋巴结肿大，而双侧乳房的体格检查、乳腺X线摄影和超声检查结果均正常。左乳一个有毛刺的及另一个边界不清的强化病变以及右乳一个表浅的边界清晰的病变均被证实为浸润性恶性肿瘤。对于孤立腋窝淋巴结且原发恶性肿瘤隐匿的患者，乳腺MRI可确定或排除乳房作为原发部位，这证明了这种成像方法的优越性和诊断价值及其对治疗方法的贡献。
