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高分辨率超声对数字乳腺摄影的辅助作用。

Role of high resolution ultrasound complementary to digital mammography.

作者信息

Gupta Kamini, Sandhu Parambir, Arora Srishti, Bedi Gaganpreet

机构信息

Department of Radiodiagnosis, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.

出版信息

Ann Afr Med. 2018 Jul-Sep;17(3):117-124. doi: 10.4103/aam.aam_36_17.

Abstract

BACKGROUND

Breast carcinoma is a major cause of mortality among women worldwide. Early detection and cure is the key to reduce the mortality of the disease. This article studied the role of high resolution ultrasound in detection and characterization of lesions to complement mammographic diagnosis and improve patient management.

AIMS AND OBJECTIVES

To evaluate the role of complementary high resolution ultrasound, BIRADS scoring and to correlate it with histological diagnosis.

RESULTS AND OBSERVATIONS

HRUS is excellent in detecting microcalcifications, malignant features of solid masses, differentiating focal asymmetry from masses, differentiating between solid and cystic lesions, simple and complex cysts and detecting satellite lesions and mammographically inaccessible areas for which special views can be done.

CONCLUSIONS

Every case referred for digital mammography should undergo ultrasound irrespective of the age, symptoms and density of the breast parenchyma and a combined final BIRADS grading should be done. Ultrasound is an excellent imaging modality for breast lesions in expert hands.

摘要

背景

乳腺癌是全球女性死亡的主要原因。早期检测和治愈是降低该疾病死亡率的关键。本文研究了高分辨率超声在病变检测和特征描述中的作用,以补充乳腺钼靶诊断并改善患者管理。

目的

评估高分辨率超声、乳腺影像报告和数据系统(BIRADS)评分的补充作用,并将其与组织学诊断相关联。

结果与观察

高分辨率超声在检测微钙化、实性肿块的恶性特征、区分局灶性不对称与肿块、区分实性与囊性病变、单纯性与复杂性囊肿以及检测卫星病灶和乳腺钼靶难以检查的区域(可进行特殊视图检查)方面表现出色。

结论

每例转诊进行数字化乳腺钼靶检查的病例,无论年龄、症状和乳腺实质密度如何,均应接受超声检查,并应进行最终的联合BIRADS分级。在专家手中,超声是检测乳腺病变的优秀成像方式。

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