Pera A, Freimanis A K
Department of Radiology, Michigan State University, East Lansing.
Obstet Gynecol Clin North Am. 1987 Sep;14(3):635-50.
We have reviewed the radiologic imaging procedures related to the investigation of breast lesions, particularly carcinoma. We discussed the choice of procedure in certain clinical situations and have made suggestions. Of the imaging methods, x-ray mammography is the most useful. Ultrasound is the next most useful; however, it is not acceptable for screening. The basis for breast cancer detection and diagnosis remains palpation and x-ray mammography. Ultrasound makes a substantial contribution to the diagnostic evaluation of certain lesions. Eventually, biopsy or surgery provides the final answer in those patients with possible lesions after these diagnostic procedures. In view of the high incidence of breast carcinoma, it would be useful for the practitioner dealing with these problems to establish for his practice a standard operating procedure for examination and referral of patients for breast screening and diagnosis as well as a system of follow-up to prevent patients from avoiding the screening and diagnostic process.
我们回顾了与乳腺病变，特别是乳腺癌检查相关的放射影像学检查方法。我们讨论了在某些临床情况下检查方法的选择并给出了建议。在各种影像学方法中，乳腺X线摄影最为有用。超声检查次之；然而，它不适合用于筛查。乳腺癌检测和诊断的基础仍然是触诊和乳腺X线摄影。超声检查对某些病变的诊断评估有重要作用。最终，活检或手术为那些经过这些诊断程序后可能存在病变的患者提供最终答案。鉴于乳腺癌的高发病率，对于处理这些问题的从业者来说，为其诊所建立一套用于乳腺筛查和诊断的患者检查及转诊标准操作程序以及随访系统，以防止患者逃避筛查和诊断过程，将是很有帮助的。
