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男性乳房疾病谱。

Spectrum of disease in the male breast.

机构信息

Department of Radiology, Breast Imaging, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.

出版信息

AJR Am J Roentgenol. 2011 Mar;196(3):W247-59. doi: 10.2214/AJR.09.3994.

Abstract

OBJECTIVE

The purpose of this article is to review the anatomy of the male breast and to describe the imaging findings of a variety of diseases that affect the male breast to better understand and recognize the imaging findings and underlying pathophysiology of diseases and conditions affecting this emerging subset of patients.

CONCLUSION

Understanding the anatomy of the male breast is central to developing a differential diagnosis and delivering optimal care in male patients presenting with breast complaints. Diseases in the male breast can affect the skin and subcutaneous tissues, stroma and glandular elements, and neurovascular and lymphatic structures. Although the most commonly encountered disease entity is gynecomastia, men can develop many other benign and neoplastic diseases, including primary breast cancer. By incorporating clinical presentation with imaging findings on mammography and ultrasound, the breast imager can more effectively establish the correct diagnosis in males.

摘要

目的

本文旨在回顾男性乳房的解剖结构,并描述影响男性乳房的各种疾病的影像学表现,以便更好地理解和认识影响这一新兴患者群体的疾病和病症的影像学表现和潜在病理生理学。

结论

了解男性乳房的解剖结构对于在出现乳房不适的男性患者中制定鉴别诊断和提供最佳治疗至关重要。男性乳房的疾病可影响皮肤和皮下组织、基质和腺体制、神经血管和淋巴结构。尽管最常见的疾病实体是男性乳房发育症,但男性也可以患上许多其他良性和肿瘤性疾病,包括原发性乳腺癌。通过将临床表现与乳腺 X 线摄影和超声检查的影像学表现相结合,乳腺成像医生可以更有效地在男性中确定正确的诊断。

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