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年轻女性罕见乳腺病变的影像学特征

Imaging Features of Rare Breast Lesions in Young Women.

作者信息

Nica Raluca-Elena, Şerbănescu Mircea-Sebastian, Florescu Lucian-Mihai, Camen Georgiana-Cristiana, Gheonea Ioana-Andreea

机构信息

PhD Student, Doctoral School, University of Medicine and Pharmacy of Craiova, Romania.

Department of Radiology and Medical Imaging, Emergency Clinical County Hospital of Craiova, Romania.

出版信息

Curr Health Sci J. 2021 Apr-Jun;47(2):314-321. doi: 10.12865/CHSJ.47.02.25. Epub 2021 Jun 30.

DOI:10.12865/CHSJ.47.02.25
PMID:34765255
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8551907/
Abstract

Rare breast tumors, such as, pseudoangiomatous stromal hyperplasia, granulomatous mastitis, tubular adenoma, myofibroblastoma and xanthogranulomatous mastitis, sarcomas, neuroendocrine tumors can sometimes be misdiagnosed because of the similarities in their imagistic characteristics. The main objective of our report is to emphasize the importance of performing ultrasound-guided breast biopsies of suspect lesions in young patients. We performed an US-guided breast biopsy instead of an excisional biopsy because breast surgery has a huge psychological impact. We selected 3 atypical breast tumors in young women, with different clinical signs and symptoms, some of which similar to other breast lesions, but with rapid growth, which needed a different and multiple imaging approach.

摘要

罕见的乳腺肿瘤，如假血管瘤样间质增生、肉芽肿性乳腺炎、管状腺瘤、肌纤维母细胞瘤和黄色肉芽肿性乳腺炎、肉瘤、神经内分泌肿瘤，有时会因其影像学特征相似而被误诊。我们报告的主要目的是强调对年轻患者可疑病变进行超声引导下乳腺活检的重要性。我们进行了超声引导下乳腺活检而非切除活检，因为乳腺手术会产生巨大的心理影响。我们选择了3例年轻女性的非典型乳腺肿瘤，它们具有不同的临床体征和症状，其中一些与其他乳腺病变相似，但生长迅速，需要不同的多种影像学检查方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e599/8551907/c0cea2b90397/CHSJ-47-02-314-fig11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e599/8551907/0be046d26377/CHSJ-47-02-314-fig1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e599/8551907/a6997f9bb9ee/CHSJ-47-02-314-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e599/8551907/4adb8feae930/CHSJ-47-02-314-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e599/8551907/0cd34daa165a/CHSJ-47-02-314-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e599/8551907/8e476ae6d09f/CHSJ-47-02-314-fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e599/8551907/70b0f5926b39/CHSJ-47-02-314-fig10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e599/8551907/c0cea2b90397/CHSJ-47-02-314-fig11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e599/8551907/0be046d26377/CHSJ-47-02-314-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e599/8551907/58c4acb86028/CHSJ-47-02-314-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e599/8551907/5bf739f374c5/CHSJ-47-02-314-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e599/8551907/48c131e5240f/CHSJ-47-02-314-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e599/8551907/b64e05c5b60f/CHSJ-47-02-314-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e599/8551907/a6997f9bb9ee/CHSJ-47-02-314-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e599/8551907/4adb8feae930/CHSJ-47-02-314-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e599/8551907/0cd34daa165a/CHSJ-47-02-314-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e599/8551907/8e476ae6d09f/CHSJ-47-02-314-fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e599/8551907/70b0f5926b39/CHSJ-47-02-314-fig10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e599/8551907/c0cea2b90397/CHSJ-47-02-314-fig11.jpg

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Image-guided breast biopsy and localisation: recommendations for information to women and referring physicians by the European Society of Breast Imaging.影像引导下的乳腺活检与定位：欧洲乳腺影像学会向女性及转诊医生提供信息的建议
Insights Imaging. 2020 Feb 5;11(1):12. doi: 10.1186/s13244-019-0803-x.
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Pathology of breast cancer in the last half century.过去半个世纪的乳腺癌病理学。
Hum Pathol. 2020 Jan;95:137-148. doi: 10.1016/j.humpath.2019.09.007. Epub 2019 Nov 1.
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Maffucci's syndrome in association with giant tubular adenoma of the breast: Case report and literature review.
马富西综合征合并乳腺巨大管状腺瘤：病例报告及文献复习
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Sarcomas of the breast: findings on mammography, ultrasound, and magnetic resonance imaging.乳腺肉瘤：乳腺X线摄影、超声及磁共振成像表现
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