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病理性乳头溢液女性的超声评估

Ultrasonographic evaluation of women with pathologic nipple discharge.

作者信息

Yoon Jung Hyun, Yoon Haesung, Kim Eun-Kyung, Moon Hee Jung, Park Youngjean Vivian, Kim Min Jung

机构信息

Department of Radiology and Research Institute of Radiologic Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

出版信息

Ultrasonography. 2017 Oct;36(4):310-320. doi: 10.14366/usg.17013. Epub 2017 Apr 9.

DOI:10.14366/usg.17013
PMID:28494526
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5621808/
Abstract

Nipple discharge is a common symptom that is alarming for the patient since it can be a presenting symptom of breast cancer. Breast imaging is used to examine women with pathologic nipple discharge in order to detect any lesions that may be present and to assist in the differential diagnosis. The modalities of breast imaging include mammography, breast ultrasonography (US), and magnetic resonance imaging. Breast US is currently considered to be useful for the visualization of ductal structures and intraductal lesions that cause nipple discharge. In this review, we discuss US techniques that assist in the clear visualization of ductal structures and intraductal lesions in patients with nipple discharge. Controversy remains regarding the evaluation and management of patients with nipple discharge, and we summarize the results available in the currently published literature.

摘要

乳头溢液是一种常见症状，会让患者感到担忧，因为它可能是乳腺癌的首发症状。乳腺成像用于检查有病理性乳头溢液的女性，以检测可能存在的任何病变并协助进行鉴别诊断。乳腺成像的方式包括乳腺X线摄影、乳腺超声（US）和磁共振成像。目前认为乳腺超声有助于显示导致乳头溢液的导管结构和导管内病变。在本综述中，我们讨论了有助于清晰显示乳头溢液患者导管结构和导管内病变的超声技术。关于乳头溢液患者的评估和管理仍存在争议，我们总结了当前已发表文献中的可用结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/1baf48007824/usg-17013-f10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/3d2c003ec128/usg-17013-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/77a3e6d32314/usg-17013-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/cc7151c14cc7/usg-17013-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/79e513e94f80/usg-17013-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/334900024d42/usg-17013-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/3b83525e992e/usg-17013-f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/0e485e3e7628/usg-17013-f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/c4c072ae7b90/usg-17013-f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/575fb9363214/usg-17013-f9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/1baf48007824/usg-17013-f10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/3d2c003ec128/usg-17013-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/77a3e6d32314/usg-17013-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/cc7151c14cc7/usg-17013-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/79e513e94f80/usg-17013-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/334900024d42/usg-17013-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/3b83525e992e/usg-17013-f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/0e485e3e7628/usg-17013-f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/c4c072ae7b90/usg-17013-f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/575fb9363214/usg-17013-f9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/5621808/1baf48007824/usg-17013-f10.jpg

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J Breast Cancer. 2016 Sep;19(3):308-315. doi: 10.4048/jbc.2016.19.3.308. Epub 2016 Sep 23.
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Management of Clinically and Mammographically Occult Benign Papillary Lesions Diagnosed at Ultrasound-Guided 14-Gauge Breast Core Needle Biopsy.超声引导下14G乳腺粗针穿刺活检诊断的临床及乳腺X线隐匿性良性乳头状病变的管理
J Ultrasound Med. 2016 Nov;35(11):2325-2332. doi: 10.7863/ultra.15.11049. Epub 2016 Sep 14.
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纤维胆道镜检查后立即注射亚甲蓝在病理性乳头溢液患者选择性胆管切除术中的作用
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Use of High-Frequency Transducers in Breast Sonography.高频换能器在乳腺超声检查中的应用。
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