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胸部计算机断层扫描中偶然发现的乳腺病变

Incidental Breast Lesions Detected on Computed Thorax Tomography.

作者信息

Poyraz Necdet, Emlik Ganime Dilek, Keskin Suat, Kalkan Havva

机构信息

Department of Radiology, Necmettin Erbakan University Meram Faculty of Medicine, Konya, Turkey.

出版信息

J Breast Health. 2015 Oct 1;11(4):163-167. doi: 10.5152/tjbh.2015.2656. eCollection 2015 Oct.

Abstract

OBJECTIVE

Although mammography is the primary imaging method of the breast, incidental benign and malignant breast lesions are increasingly being detected on computed tomographies (CTs) performed to detect different pathologies. Therefore, the detection and accurate identification of these lesions is important. In this study, we aimed to evaluate the frequency, morphological features, and results of incidental breast lesions on CTs performed for the detection of extramammarian pathologies.

MATERIALS AND METHODS

Incidental breast lesions on CTs performed in our department between 2011 and 2013 were evaluated. Patients who had previously diagnosed breast lesions were excluded from the study. The inclusion criteria were histopathologic diagnose and being followed-up for at least 2 years.

RESULTS

The study population consisted of 33 women whose mean age was 55±1.38 (37-78) years. Of the 33 women, 12 (36%) had malignant and 21 (64%) had benign or normal findings. The most common malignant lesion was invasive ductal carcinoma, and the most common benign lesion was fibroadenoma. Ill-defined contour and lymphadenopathy in malignant lesions and well-defined contour in benign lesions were the most important CT findings.

CONCLUSION

Breast must be carefully evaluated if it is included in the scans. An accurate report of breast lesions gives an opportunity for early diagnosis and treatment.

摘要

目的

尽管乳腺钼靶摄影是乳腺的主要成像方法,但在为检测不同病理情况而进行的计算机断层扫描(CT)中,偶然发现的乳腺良恶性病变越来越多。因此,检测和准确识别这些病变很重要。在本研究中,我们旨在评估在为检测乳腺外病变而进行的CT检查中偶然发现的乳腺病变的频率、形态特征及结果。

材料与方法

对2011年至2013年在我院进行的CT检查中偶然发现的乳腺病变进行评估。先前已诊断出乳腺病变的患者被排除在研究之外。纳入标准为组织病理学诊断且至少随访2年。

结果

研究人群包括33名女性,平均年龄为55±1.38(37 - 78)岁。在这33名女性中,12名(36%)有恶性病变,21名(64%)有良性或正常表现。最常见的恶性病变是浸润性导管癌,最常见的良性病变是纤维腺瘤。恶性病变中边界不清的轮廓和淋巴结病以及良性病变中边界清晰的轮廓是最重要的CT表现。

结论

如果乳腺包含在扫描范围内,必须仔细评估。准确报告乳腺病变为早期诊断和治疗提供了机会。

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