Department of Diagnostic Imaging, The Warren Alpert Medical School of Brown University Rhode Island Hospital, Women & Infants Hospital Providence, Providence, Rhode Island, United States.
Department of Diagnostic Imaging, Aventura Hospital & Medical Center Aventura, Florida, United States.
Br J Radiol. 2022 Dec 1;95(1140):20220480. doi: 10.1259/bjr.20220480. Epub 2022 Sep 5.
Breast cryoablation has become a viable option for the treatment of breast cancer in properly selected patient populations. With the increase in the use of cryoablation, post-treatment follow-up imaging and pathology has also gained increased importance. By using the proper imaging combination of diagnostic mammography, ultrasound and MRI, physicians are able to detect residual or recurrent malignancy and differentiate it from expected post-treatment findings. If suspicious imaging findings are seen, prompt biopsy and pathological diagnosis are essential. The pathologist must also be able to differentiate the expected post-procedural histological findings from those of recurrent or residual malignancy. These imaging and pathological findings must also be compared in order to ensure concordance and appropriate patient treatment.
乳腺冷冻消融术已成为某些特定患者人群治疗乳腺癌的一种可行手段。随着冷冻消融术的应用增加,治疗后随访的影像学和病理学也变得越来越重要。通过使用诊断性乳腺 X 线摄影、超声和 MRI 的适当组合成像,医生能够检测到残留或复发性恶性肿瘤,并将其与预期的治疗后发现区分开来。如果发现可疑的影像学表现,则需要及时进行活检和病理诊断。病理学家还必须能够区分预期的术后组织学发现与复发性或残留恶性肿瘤的发现。为了确保一致性和适当的患者治疗,还必须对这些影像学和病理学发现进行比较。