Vanderbilt University Medical Center, Vanderbilt Breast Center, Nashville, Tennessee 37204-4683, USA.
J Natl Compr Canc Netw. 2009 Nov;7(10):1101-4; quiz 1105. doi: 10.6004/jnccn.2009.0071.
Although palpable and mammographic breast masses are common and frequently reflect underlying fibrocystic change, they must be distinguished from breast malignancy. Clinical characterization of these masses is often unreliable, and mammographic appearances alone cannot distinguish between those that are solid and those that are cystic. Sonography is an important adjunct to characterize these abnormalities further. Management of solid masses is well established, but overlap in appearance of cystic lesions has led to variability in reporting and management. With current high-resolution ultrasound, specific observations can accurately characterize most cystic masses, thereby facilitating management decisions.
虽然可触及和乳房 X 光摄影的乳房肿块很常见，并且常常反映潜在的纤维囊性改变，但它们必须与乳腺癌区分开来。这些肿块的临床特征通常不可靠，仅凭乳房 X 光摄影表现无法区分实性和囊性肿块。超声检查是进一步对这些异常进行特征描述的重要辅助手段。实性肿块的处理方法已经确立，但囊性病变的表现存在重叠，导致报告和处理方法存在差异。目前，高分辨率超声可以对大多数囊性肿块进行准确的特征描述，从而有助于做出管理决策。
