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乳腺错构瘤患者的高级 MRI 表现。

Advanced MRI findings in patients with breast hamartomas.

机构信息

Department of Radiology, İnonü University School of Medicine, Malatya, Turkey.

出版信息

Diagn Interv Radiol. 2011 Mar;17(1):33-7. doi: 10.4261/1305-3825.DIR.1892-08.2. Epub 2010 Jun 26.

Abstract

PURPOSE

Although it has been stated that breast hamartomas are rare tumors, radiologists frequently encounter them in their daily practices. Fat, glandular and fibrous tissues all produce a mass of disorganized but mature specialized cells. Because hamartomas do not have specific diagnostic histological features, the clinical and radiological findings are important in their diagnosis. The aim of this study is to present the advanced magnetic resonance imaging (MRI) findings of breast hamartomas.

MATERIALS AND METHODS

Eight patients with breast hamartomas were examined using MRI techniques in addition to ultrasonographic and/or mammographic findings.

RESULTS

Each of the lesions examined showed a gradual enhancement pattern in its time-signal intensity curve on dynamic contrast-enhanced MRI. On MR spectroscopy, water and lipid peaks were detected that resembled normal breast tissue. The diffusion features of the lesions were variable due to the different ratios of the tissue elements constituting them on diffusion-weighted imaging (DWI).

CONCLUSION

Advanced MRI findings may clarify diagnoses by providing additional information following sonography, especially in lactating or pregnant women, in whom mammographic examination is not preferred.

摘要

目的

尽管已经指出乳腺错构瘤是罕见的肿瘤,但放射科医生在日常工作中经常会遇到它们。脂肪、腺体和纤维组织都会产生一团组织无序但成熟的特殊细胞。由于错构瘤没有特定的诊断组织学特征,因此临床和影像学表现对其诊断很重要。本研究旨在介绍乳腺错构瘤的先进磁共振成像(MRI)表现。

材料与方法

除了超声和/或乳腺 X 线摄影检查结果外,还对 8 例乳腺错构瘤患者进行了 MRI 技术检查。

结果

检查的每一个病变在动态对比增强 MRI 上的时间信号强度曲线中均表现出逐渐增强的模式。在磁共振波谱分析中,检测到类似于正常乳腺组织的水和脂质峰。病变的扩散特征因构成病变的组织成分的不同而在扩散加权成像(DWI)上有所不同。

结论

先进的 MRI 表现可以通过在超声检查后提供额外的信息来帮助明确诊断,特别是在哺乳期或妊娠期妇女中,这些妇女不适合进行乳腺 X 线摄影检查。

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