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乳腺超声检查中的乳晕后癌：要点与陷阱

Retroareolar Carcinomas in Breast Ultrasound: Pearls and Pitfalls.

作者信息

Ferré Romuald, Paré Martine, Smith Lisa, Thériault Mélanie, Aldis Ann, Kao Ellen, Mesurolle Benoit

机构信息

Radiology Department, North Ontario School of Medicine, Thunder Bay Regional Health Centre, Thunder Bay, ON P7B 6V4, Canada.

Department of Radiology, McGill University Health Center, Royal Victoria Hospital, 687 Pine Ave West, Montreal, QC H3H 1A1, Canada.

出版信息

Cancers (Basel). 2016 Dec 30;9(1):1. doi: 10.3390/cancers9010001.

DOI:10.3390/cancers9010001
PMID:28042819
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5295772/
Abstract

Breast Ultrasound (US) is an important tool for both screening and diagnostic examinations. Although breast US has benefitted from significant recent technical improvements, its use for the retroareolar region is known to be more challenging than for other locations. The retroareolar location was defined by Giess et al. in 1998 as the region where any lesion is situated at less than two cm from the nipple and/or involves the nipple-areolar complex on mammogram. Understanding of the complex anatomy and physiology of the nipple-areolar region is important to avoid misinterpretation and misdiagnosis. The ability for the breast imager to manage difficulties related to the retroareolar area is paramount by adjusting settings (compounding, frequency, Doppler) and utilizing specific manoeuvers. Cases illustrating difficulties encountered in diagnosis of retroareolar carcinomas are presented.

摘要

乳腺超声（US）是筛查和诊断检查的重要工具。尽管乳腺超声近年来受益于重大的技术改进，但已知其在乳晕后区域的应用比在其他部位更具挑战性。1998年，吉斯等人将乳晕后区域定义为乳房X线照片上任何病变位于距乳头小于2厘米处和/或累及乳头乳晕复合体的区域。了解乳头乳晕区域复杂的解剖结构和生理功能对于避免误判和误诊很重要。乳腺成像人员通过调整设置（复合成像、频率、多普勒）和采用特定手法来处理与乳晕后区域相关困难的能力至关重要。本文展示了一些在诊断乳晕后癌时遇到困难的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/3b858cea41ca/cancers-09-00001-g015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/eb6972f6fd43/cancers-09-00001-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/680422711124/cancers-09-00001-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/99deb22c5dec/cancers-09-00001-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/a441b836df90/cancers-09-00001-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/277df06efaeb/cancers-09-00001-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/f25969a4dfde/cancers-09-00001-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/87d66d44481c/cancers-09-00001-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/3cf35f5bd3d2/cancers-09-00001-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/72749fc75e7b/cancers-09-00001-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/19260fdd2d22/cancers-09-00001-g010a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/87adfa61ba51/cancers-09-00001-g011a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/256dc2a9518d/cancers-09-00001-g012a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/c58ed0cb1166/cancers-09-00001-g013a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/2ce4d57874a4/cancers-09-00001-g014a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/3b858cea41ca/cancers-09-00001-g015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/eb6972f6fd43/cancers-09-00001-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/680422711124/cancers-09-00001-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/99deb22c5dec/cancers-09-00001-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/a441b836df90/cancers-09-00001-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/277df06efaeb/cancers-09-00001-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/f25969a4dfde/cancers-09-00001-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/87d66d44481c/cancers-09-00001-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/3cf35f5bd3d2/cancers-09-00001-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/72749fc75e7b/cancers-09-00001-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/19260fdd2d22/cancers-09-00001-g010a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/87adfa61ba51/cancers-09-00001-g011a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/256dc2a9518d/cancers-09-00001-g012a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/c58ed0cb1166/cancers-09-00001-g013a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/2ce4d57874a4/cancers-09-00001-g014a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7462/5295772/3b858cea41ca/cancers-09-00001-g015.jpg

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Radiology. 2014 Jul;272(1):12-27. doi: 10.1148/radiol.14132628.
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Update on screening breast ultrasonography.
Radiol Clin North Am. 2014 May;52(3):527-37. doi: 10.1016/j.rcl.2013.12.003.
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Second-look US: how to find breast lesions with a suspicious MR imaging appearance.二次超声检查：如何发现可疑 MRI 影像表现的乳腺病变
利用下蒂皮瓣即刻重建乳头乳晕复合体用于乳房中央区肿瘤
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Contrast enhanced breast MRI: spatial displacement from prone to supine patient's position. Preliminary results.对比增强乳腺 MRI：俯卧位到仰卧位患者位置的空间位移。初步结果。
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Detection of breast cancer with addition of annual screening ultrasound or a single screening MRI to mammography in women with elevated breast cancer risk.在乳腺癌风险升高的女性中，通过每年进行乳腺筛查超声或单次乳腺筛查 MRI 检查来检测乳腺癌。
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Second-look targeted studies after breast magnetic resonance imaging: practical tips to improve lesion identification.乳腺磁共振成像后的二次靶向研究：提高病变识别的实用技巧
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