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一种新的急诊乳房检查搜索模式:临床图片。

A new search pattern for emergency breast exams: the clinical picture.

机构信息

University of North Carolina School of Medicine, Chapel Hill, NC, USA.

Department of Radiology, University of Maryland Medical Center, Baltimore, MD, USA.

出版信息

Emerg Radiol. 2022 Feb;29(1):207-213. doi: 10.1007/s10140-021-01958-7. Epub 2021 Sep 17.

DOI:10.1007/s10140-021-01958-7
PMID:34533665
Abstract

Distinct breast diseases are readily diagnosed by clinical and ultrasound appearance that radiologists and sonographers may encounter in emergency room and urgent care patient presentations. While it may be impractical or impossible for the on-call emergency radiologist to examine a patient with breast complaints, radiologists can and should adopt the practice pattern to routinely seek out the clinical photographs in the patient's medical record while interpreting breast examinations. Imaging should be interpreted in the context of both the history and the physical findings. Sonographers play important roles in the documentation of visual inspection findings, in addition to performing high quality targeted ultrasound where applicable. This pictorial offers resources to emergency radiologists and sonographers that facilitate rapid accurate diagnosis of ten distinct breast diseases.

摘要

不同的乳房疾病可以通过临床和超声表现来明确诊断,放射科医生和超声科医生在急诊和紧急护理患者就诊时可能会遇到这些疾病。虽然对于值班的放射科医生来说,对有乳房不适的患者进行检查可能不切实际或不可能,但放射科医生可以并且应该养成在解读乳房检查时,常规查找患者病历中临床照片的习惯。影像学检查应结合病史和体格检查结果进行解读。超声科医生除了在适用时进行高质量的靶向超声检查外,还在记录视觉检查结果方面发挥着重要作用。本图集为急诊放射科医生和超声科医生提供了资源,有助于快速准确地诊断十种不同的乳房疾病。

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本文引用的文献

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Characteristics of contrast-enhanced ultrasonography and strain elastography of locally advanced breast cancer.局部晚期乳腺癌的超声造影及应变弹性成像特征
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Diagnostic techniques and multidisciplinary approach in idiopathic granulomatous mastitis: a revision of the literature.特发性肉芽肿性乳腺炎的诊断技术与多学科方法:文献综述
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Mondor's Disease: A Review of the Literature.蒙多氏病:文献综述
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What radiologists need to know about diagnosis and treatment of inflammatory breast cancer: a multidisciplinary approach.放射科医生需要了解的炎性乳腺癌的诊断和治疗知识:多学科方法。
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Breast Dis. 2012;34(1):25-8. doi: 10.3233/BD-130344.
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Radiographics. 2011 Nov-Dec;31(7):1973-87. doi: 10.1148/rg.317115070.
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Distinguishing breast skin lesions from superficial breast parenchymal lesions: diagnostic criteria, imaging characteristics, and pitfalls.鉴别乳腺皮肤病变与乳腺浅部实质病变:诊断标准、影像学特征及陷阱。
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