模拟腋窝淋巴结钙化沉积的经皮纹身色素
Percutaneous tattoo pigment simulating calcific deposits in axillary lymph nodes.
作者信息
Yactor Amy R, Michell Michael N, Koch Meghan S, Leete Tyler G, Shah Zeeshan A, Carter Brett W
机构信息
Departments of Radiology (Yactor, Michell, Leete, Shah, Carter) and Pathology (Koch), Baylor University Medical Center at Dallas.
出版信息
Proc (Bayl Univ Med Cent). 2013 Jan;26(1):28-9. doi: 10.1080/08998280.2013.11928907.
The isolated finding of calcific deposits within axillary lymph nodes on mammography suggests a broad range of differential diagnoses, from benign causes such as granulomatous reaction secondary to previous histoplasmosis infection to malignancies such as breast cancer and metastatic disease from extramammary primary malignancies. Therefore, the isolated finding of intranodal calcium may warrant biopsy for a definitive diagnosis when a benign etiology is not apparent. We present a patient with isolated axillary lymph node densities on mammography and chest computed tomography, which were subsequently proven to represent deposition of tattoo pigment.
乳腺钼靶检查发现腋窝淋巴结内有钙化沉积这一孤立发现提示了广泛的鉴别诊断范围，从良性病因如既往组织胞浆菌病感染继发的肉芽肿反应到恶性肿瘤如乳腺癌以及乳腺外原发性恶性肿瘤的转移性疾病。因此，当良性病因不明显时，淋巴结内孤立的钙沉积发现可能需要活检以明确诊断。我们报告一例患者，其乳腺钼靶检查和胸部计算机断层扫描发现腋窝淋巴结有孤立性密度影，随后证实为纹身颜料沉积。
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