Stein Lauren, Chellman-Jeffers Melanie
Imaging Institute, Cleveland Clinic Foundation, OH 44195, USA.
Cleve Clin J Med. 2009 Mar;76(3):175-80. doi: 10.3949/ccjm.76a.08015.
The finding of a palpable breast mass on physical examination often warrants a radiologic workup including directed ultrasonography, diagnostic mammography, and, at times, biopsy with ultrasonographic guidance. The choice of initial imaging study is most often guided by the patient's age at presentation. Communicating the clinical findings to both the patient and the radiologist helps ensure the selection of the most appropriate imaging studies and helps in the interpretation of those studies. Every woman with a palpable breast mass, regardless of her age, should undergo imaging to exclude or establish the diagnosis of cancer.
体格检查发现可触及的乳腺肿块通常需要进行包括定向超声检查、诊断性乳腺钼靶检查,有时还需要在超声引导下进行活检的影像学检查。初始影像学检查的选择通常由患者就诊时的年龄决定。将临床检查结果告知患者和放射科医生有助于确保选择最合适的影像学检查,并有助于对这些检查结果进行解读。每个有可触及乳腺肿块的女性,无论其年龄大小,都应接受影像学检查以排除或确诊癌症。