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乳腺意外高回声病变及其与病理学的相关性:图文综述

Unexpected hyperechoic lesions of the breast and their correlations with pathology: a pictorial essay.

作者信息

Park Seo Young, Park Jee Young, Park Ji Won, Kim Won Hwa, Park Ji Young, Kim Hye Jung

机构信息

Department of Radiology, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital, Daegu, Korea.

Department of Radiology, Fatima Hospital, Daegu, Korea.

出版信息

Ultrasonography. 2022 Jul;41(3):597-609. doi: 10.14366/usg.21243. Epub 2022 Feb 12.

DOI:10.14366/usg.21243
PMID:35462528
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9262659/
Abstract

Hyperechoic lesions of the breast encompass a wide range of conditions that are occasionally encountered during breast ultrasonography. Although typical hyperechoic lesions with a distinct fat component on imaging are well known, some hyperechoic lesions are diagnosed as unexpected pathology, making the radiology-pathology correlation difficult. Therefore, understanding the pathology of these lesions and how it correlates with imaging findings can help radiologists accurately diagnose and properly manage a range of related conditions. This article presents a pictorial review of unexpected hyperechoic benign and malignant breast lesions, with a focus on the pathological conditions that give rise to the hyperechoic pattern.

摘要

乳腺高回声病变包含了乳腺超声检查中偶尔会遇到的多种情况。尽管成像上具有明显脂肪成分的典型高回声病变广为人知,但一些高回声病变被诊断为意外的病理情况,这使得放射学与病理学的关联变得困难。因此,了解这些病变的病理学及其与影像学表现的关联有助于放射科医生准确诊断并妥善处理一系列相关病症。本文对意外的乳腺高回声良性和恶性病变进行了图文综述,重点关注导致高回声模式的病理状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/69121c34999b/usg-21243f11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/3a054193c27a/usg-21243f1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/d5533017f218/usg-21243f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/256e8967bd9d/usg-21243f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/24004de556ab/usg-21243f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/6a51ce484abe/usg-21243f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/41028a646945/usg-21243f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/06c20e9dafbd/usg-21243f9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/cfb35ce08b0c/usg-21243f10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/69121c34999b/usg-21243f11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/3a054193c27a/usg-21243f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/568f95d2fe7f/usg-21243f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/217f52e3a308/usg-21243f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/d5533017f218/usg-21243f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/256e8967bd9d/usg-21243f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/24004de556ab/usg-21243f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/6a51ce484abe/usg-21243f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/41028a646945/usg-21243f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/06c20e9dafbd/usg-21243f9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/cfb35ce08b0c/usg-21243f10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc0/9262659/69121c34999b/usg-21243f11.jpg

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Sci Rep. 2021 Jan 28;11(1):2501. doi: 10.1038/s41598-021-82141-3.
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Hyperechoic malignancies of the breast: Underlying pathologic features correlating with this unusual appearance on ultrasound.乳腺高回声性恶性肿瘤:与其在超声上这种不常见表现相关的潜在病理特征。
Breast J. 2020 Apr;26(4):643-652. doi: 10.1111/tbj.13501. Epub 2019 Sep 12.
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Ultrasound echogenicity reveals the response of breast cancer to chemotherapy.
超声回声性显示了乳腺癌对化疗的反应。
Clin Imaging. 2019 May-Jun;55:41-46. doi: 10.1016/j.clinimag.2019.01.021. Epub 2019 Jan 26.
4
Phyllodes Tumor of the Breast: Ultrasound-Pathology Correlation.乳腺叶状肿瘤:超声-病理学相关性。
AJR Am J Roentgenol. 2018 Apr;210(4):W173-W179. doi: 10.2214/AJR.17.18554. Epub 2018 Feb 7.
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Phyllodes tumours of the breast: a consensus review.乳腺叶状肿瘤:共识性综述
Histopathology. 2016 Jan;68(1):5-21. doi: 10.1111/his.12876.
6
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7
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AJR Am J Roentgenol. 2011 May;196(5):1219-24. doi: 10.2214/AJR.10.5260.
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Mammary myofibroblastoma: a tumor with a wide morphologic spectrum.乳腺肌纤维母细胞瘤:一种具有广泛形态学谱的肿瘤。
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