Department of Breast Radiology, St. Vincent's University Hospital, Dublin 4, Ireland.
Ir J Med Sci. 2013 Jun;182(2):287-9. doi: 10.1007/s11845-012-0877-7. Epub 2012 Nov 28.
Women younger than 30 years with a focal breast finding have a low incidence of malignancy. Targeted ultrasound is an accurate primary imaging test.
All breast ultrasounds performed from July 1, 2011 to September 30, 2011 were reviewed. All ultrasounds in patients under 25 years were reviewed with regard to indication, imaging findings, and pathology results.
Over a 3-month period, 855 breast ultrasounds were performed; 4.1 % breast ultrasounds were performed in a patient under 25 years. Twenty patients had imaging features consistent with a fibroadenoma. Pathology confirmed the diagnosis of fibroadenomas in 15 of the patients. Five patients did not have biopsies performed due to young age or presence of bilateral fibroadenoma.
A breast nodule in a patient under the age of 25 years with benign clinical findings and imaging features consistent with a fibroadenoma does not require biopsy.
30 岁以下的女性，若乳房出现局灶性病变，其恶性肿瘤的发病率较低。靶向超声是一种准确的主要影像学检查方法。
对 2011 年 7 月 1 日至 9 月 30 日期间进行的所有乳腺超声检查进行了回顾性分析。对所有 25 岁以下患者的超声检查，从适应证、影像学表现和病理结果方面进行了评估。
在 3 个月期间，共进行了 855 例乳腺超声检查，其中 4.1%的患者年龄小于 25 岁。20 例患者的影像学表现符合纤维腺瘤的特征。病理检查证实 15 例患者的诊断为纤维腺瘤。由于患者年龄较小或存在双侧纤维腺瘤，5 例患者未进行活检。
对于年龄小于 25 岁、临床检查发现良性病变且影像学表现符合纤维腺瘤的患者，乳房结节无需进行活检。
