Boston University School of Medicine, 72 E. Concord St., Boston, MA 02118, USA.
Department of Radiology, Boston Medical Center, 830 Harrison Ave., Moakley Building Suite 1300, Boston, MA 02118, USA.
Clin Imaging. 2021 Sep;77:76-85. doi: 10.1016/j.clinimag.2021.02.021. Epub 2021 Feb 24.
Various systemic diseases of benign or malignant etiologies can clinically manifest in the breast. Some imaging findings of breast lesions can be pathognomonic for a given condition, while others are non-specific, mimicking primary breast carcinoma and requiring tissue biopsy for definitive diagnosis. In addition to obtaining a detailed clinical history, radiologists should be familiar with the diverse clinical and imaging characteristics of these conditions to help exclude primary breast cancer and avoid unnecessary interventions. This review aims to discuss the clinical presentations, imaging features, pathologic findings, and management of systemic conditions that may affect the breast.
各种良性或恶性病因的系统性疾病均可在临床上表现为乳腺疾病。一些乳腺病变的影像学表现对于特定疾病具有特征性,而另一些则是非特异性的,类似于原发性乳腺癌,需要进行组织活检以明确诊断。除了详细了解临床病史外,放射科医生还应熟悉这些疾病的不同临床和影像学特征,以帮助排除原发性乳腺癌并避免不必要的干预。本文旨在讨论可能影响乳腺的系统性疾病的临床表现、影像学特征、病理发现和处理。