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钝性乳腺创伤的临床、乳腺X线摄影及超声特征

Clinical, mammographic and ultrasonographic features of blunt breast trauma.

作者信息

Gatta Gianluca, Pinto Antonio, Romano Stefania, Ancona Antonietta, Scaglione Mariano, Volterrani Luca

机构信息

Department of Diagnostic Imaging, "A. Cardarelli" Hospital, 80131 Naples, Italy.

出版信息

Eur J Radiol. 2006 Sep;59(3):327-30. doi: 10.1016/j.ejrad.2006.04.024. Epub 2006 Jun 19.

Abstract

Evaluation of acute breast injury depends largely on the findings at physical examination. Patients may not initially remember the traumatic event to the breast, and mammography may be the first radiographic study to suggest this history, particularly if it shows findings of fat necrosis. Clinical, mammographic and sonographic findings resulting from non-iatrogenic trauma to the breast can be mistaken for signs of malignancy, especially because trauma often is not considered as a cause for such findings. In this paper some of the manifestations of blunt traumatic injury to the breast are presented. Familiarity with mammographic and sonographic findings of breast trauma is essential for the radiologist to avoid unnecessary biopsy and to avoid overlooking breast cancer.

摘要

急性乳房损伤的评估很大程度上取决于体格检查的结果。患者最初可能不记得乳房受过创伤事件,而乳房X线摄影可能是提示这一病史的首个影像学检查,尤其是当它显示脂肪坏死的表现时。非医源性乳房创伤导致的临床、乳房X线摄影及超声检查结果可能被误诊为恶性肿瘤的征象,特别是因为创伤通常不被视为这些表现的病因。本文介绍了乳房钝性创伤的一些表现。放射科医生熟悉乳房创伤的乳房X线摄影和超声检查结果对于避免不必要的活检以及避免漏诊乳腺癌至关重要。

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