1 Department of Radiology, Breast Imaging Section, University of Cincinnati Medical Center, 234 Goodman St, ML 0772, Cincinnati, OH 45219-0772.
AJR Am J Roentgenol. 2014 Apr;202(4):W390-9. doi: 10.2214/AJR.13.11758.
The objective of this article is to describe the types of breast emergencies that can be encountered in a breast imaging practice, discuss the characteristic imaging features of these emergencies, and explain the most common methods and interventions used for the treatment of breast emergencies and complications.
Breast emergencies are uncommon but require prompt identification and management when they do occur. Patients with mastitis or a breast abscess may be seen for either diagnosis or treatment. Most complications are the result of interventional procedures. Pseudoaneurysms, postbiopsy hematoma, and localization wire migration are the most common situations encountered. A milk fistula resulting from a core biopsy is uncommon. Fortunately, seat-belt injuries to the breast are rare. Knowledge of these entities--of the usual presentation, management, and appropriate follow-up protocols--is essential for breast imagers.
本文旨在描述在乳腺影像实践中可能遇到的乳腺急症类型，讨论这些急症的特征性影像学特征，并解释治疗乳腺急症和并发症最常用的方法和介入手段。
乳腺急症并不常见，但发生时需要迅速识别和处理。乳腺炎或乳腺脓肿患者可能因诊断或治疗而就诊。大多数并发症是介入治疗的结果。假性动脉瘤、活检后血肿和定位导丝迁移是最常见的情况。核心活检后出现乳瘘并不常见。幸运的是，安全带致伤乳房的情况很少见。乳腺影像医师必须了解这些疾病——包括常见的表现、处理方法和适当的随访方案。
