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伪装成血肿的3级浸润性乳腺癌——临床与影像流程中一致性的重要性

Grade 3 invasive breast cancer masquerading as a haematoma - the importance of concordance in the clinical and imaging pathway.

作者信息

Menezes Ramona, Kostic Daniella, Moyle Penelope

机构信息

Nottingham University Hospitals NHS Trust, England, UK.

Cambridge University Hospitals NHS Foundation Trust, England, UK.

出版信息

BJR Case Rep. 2023 Mar 17;9(2):20220156. doi: 10.1259/bjrcr.20220156. eCollection 2023 Mar.

DOI:10.1259/bjrcr.20220156
PMID:36998337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10043602/
Abstract

Cystic lesions of the breast are an everyday encounter in the symptomatic breast clinic. While the vast majority of cystic lesions are benign, it is important to be aware of the imaging manifestations that indicate a sinister pathology and the pitfalls of biopsy in a complex cystic lesion which make the diagnosis challenging. We present a case of cystic Grade 3 breast cancer and highlight the imaging characteristics and clinicoradiological concordance that achieved the correct diagnosis.

摘要

乳腺囊性病变在有症状的乳腺门诊中很常见。虽然绝大多数囊性病变是良性的,但了解提示恶性病变的影像学表现以及复杂囊性病变活检的陷阱很重要,这些陷阱会使诊断具有挑战性。我们报告一例3级囊性乳腺癌病例,并强调实现正确诊断的影像学特征和临床放射学一致性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c944/10043602/27323f7dd32f/bjrcr.20220156.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c944/10043602/afdb78616d8c/bjrcr.20220156.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c944/10043602/fe9c40a52100/bjrcr.20220156.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c944/10043602/381638f50855/bjrcr.20220156.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c944/10043602/27323f7dd32f/bjrcr.20220156.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c944/10043602/afdb78616d8c/bjrcr.20220156.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c944/10043602/fe9c40a52100/bjrcr.20220156.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c944/10043602/381638f50855/bjrcr.20220156.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c944/10043602/27323f7dd32f/bjrcr.20220156.g004.jpg

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本文引用的文献

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Magnetic resonance imaging in diagnosis of indeterminate breast (BIRADS 3 & 4A) in a general population.磁共振成像在普通人群不确定乳腺病变(乳腺影像报告和数据系统3类及4A类)诊断中的应用
Insights Imaging. 2021 Oct 21;12(1):149. doi: 10.1186/s13244-021-01098-z.
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When Something Seems Amiss: Radiology-Pathology Correlation of Metaplastic Breast Cancer.当出现异常情况时:化生性乳腺癌的放射学与病理学相关性
Cureus. 2020 May 22;12(5):e8239. doi: 10.7759/cureus.8239.
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Sonographic features of invasive ductal breast carcinomas predictive of malignancy grade.
预测恶性程度的浸润性导管乳腺癌的超声特征。
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Impact of Squamous Differentiation in Breast Carcinoma.鳞状分化在乳腺癌中的影响。
Int J Surg Pathol. 2016 Sep;24(6):483-9. doi: 10.1177/1066896916642290. Epub 2016 Apr 12.
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Complex cystic breast masses in ultrasound examination.超声检查中的复杂囊性乳腺肿块。
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Breast ultrasonography: state of the art.乳腺超声检查:现状。
Radiology. 2013 Sep;268(3):642-59. doi: 10.1148/radiol.13121606.
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Cystic breast masses and the ACRIN 6666 experience.乳腺囊性肿块与ACRIN 6666研究经验
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8
Analysis of false-negative results after US-guided 14-gauge core needle breast biopsy.超声引导下 14 号针芯乳腺活检假阴性结果分析。
Eur Radiol. 2010 Apr;20(4):782-9. doi: 10.1007/s00330-009-1632-y. Epub 2009 Oct 28.
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The Royal College of Radiologists Breast Group breast imaging classification.皇家放射科医师学院乳腺组乳腺影像分类
Clin Radiol. 2009 Jun;64(6):624-7. doi: 10.1016/j.crad.2009.01.010. Epub 2009 Apr 2.
10
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Radiographics. 2007 Oct;27 Suppl 1:S53-64. doi: 10.1148/rg.27si075508.