Axmacher Jessica A, Bhatt Asha A, Hesley Gina K
Mayo Clinic, Department of Radiology, Division of Breast Imaging, 100 1st St SW, Rochester MN 55902, USA.
Radiol Case Rep. 2020 Jun 11;15(8):1211-1215. doi: 10.1016/j.radcr.2020.04.008. eCollection 2020 Aug.
We report a case of nodular sclerosing adenosis presenting as false-positive uptake on molecular breast imaging (MBI). A 51-year-old woman with elevated lifetime risk of breast cancer underwent supplemental MBI which showed focal uptake in the right breast. A corresponding mass was found on ultrasound with subsequent biopsy yielding nodular sclerosing adenosis. After the biopsy results were reviewed, a problem solving breast MR was recommended. Breast MR showed a solitary enhancing right breast mass containing a marker clip, and the sonographic biopsy was then deemed concordant with pathology. While adenosis lesions are known mimickers of malignancy on other breast imaging modalities, their appearance on MBI has not been previously published.
我们报告了一例在分子乳腺成像(MBI)中表现为假阳性摄取的结节性硬化性腺病病例。一名乳腺癌终生风险升高的51岁女性接受了补充MBI检查,结果显示右乳有局灶性摄取。超声检查发现了一个相应的肿块,随后活检结果为结节性硬化性腺病。在复查活检结果后,建议进行问题解决性乳腺磁共振成像(MR)检查。乳腺MR显示右乳有一个孤立的强化肿块,内含一个标记夹,随后超声活检结果被认为与病理结果一致。虽然在其他乳腺成像方式中,腺病病变已知会模仿恶性肿瘤,但它们在MBI上的表现此前尚未见报道。