Department of Radiology, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania; Radiology and Medical Imaging Department, University Hospital, Cluj-Napoca, Romania.
Department of Radiology, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania; Micromedica Clinic, Piatra Neamt, Romania.
Clin Radiol. 2020 Jul;75(7):483-496. doi: 10.1016/j.crad.2019.12.024. Epub 2020 Feb 11.
Mucinous and medullary breast cancers (BCs) have different histological substrates that manifest as different imaging features on mammography, ultrasound, and MRI. The aim of the present review is to demonstrate the differences between these two rare BC subtypes and to describe the microscopic features, review the imaging methods for detection of both cancer subtypes, illustrate the imaging findings and present useful pearls and pitfalls. Out of a total of 30 patients with mucinous BC and nine with medullary BC, we have selected typical and also unusual imaging features that best represent these cancers. The patients underwent a mammography and breast ultrasound followed by magnetic resonance imaging. We briefly exhibit histological characteristics for a better understanding of the imaging aspects.
黏液性和髓样乳腺癌(BC)具有不同的组织学基础,在乳房 X 线摄影、超声和 MRI 上表现出不同的影像学特征。本综述的目的是展示这两种罕见的 BC 亚型之间的差异,并描述这两种癌症亚型的微观特征、回顾检测这两种癌症的影像学方法,阐明影像学表现并提出有用的要点和陷阱。在总共 30 例黏液性 BC 患者和 9 例髓样 BC 患者中,我们选择了最能代表这些癌症的典型和非典型影像学特征。患者接受了乳房 X 线摄影和乳房超声检查,然后进行了磁共振成像。我们简要展示了组织学特征,以便更好地理解影像学表现。