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乳房静脉畸形:避免不必要的活检或手术的影像学特征。

Venous Malformation in the Breast: Imaging Features to Avoid Unnecessary Biopsies or Surgery.

机构信息

Department of Radiodiagnosis, Maulana Azad Medical College and Associated Lok Nayak, G.I.P.M.E.R. and G.N.E.C. Hospitals, New Delhi, Delhi-110002 India.

出版信息

J Radiol Case Rep. 2023 May 31;17(5):1-8. doi: 10.3941/jrcr.v17i5.4635. eCollection 2023 May.

DOI:10.3941/jrcr.v17i5.4635
PMID:37600844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10435260/
Abstract

Venous malformations are now categorised under the broad heading of slow flow vascular malformations. They comprise abnormally dilated venous channels that fail to involute. These may be superficial or deep in location. We describe two cases of venous malformation in breast. Both the patients presented with focal pain in one breast. On mammography, they appeared as equal density well circumscribed soft tissue masses. No sonographic correlate was found on initial ultrasound examination. Subsequent ultrasonography performed by an experienced radiologist with minimal probe pressure revealed dilated veins. On the basis of imaging findings, the diagnosis of venous malformation was established.

摘要

静脉畸形现在被归类为慢血流血管畸形的广义范畴。它们由异常扩张的静脉通道组成,这些通道不能退缩。这些静脉可以位于表浅部位,也可以位于深部。我们描述了两例乳房静脉畸形。两名患者均表现为单侧乳房局限性疼痛。乳腺 X 线摄影表现为等密度、边界清楚的软组织肿块。初次超声检查未发现任何与超声相关的表现。在有经验的放射科医生进行后续超声检查时,施加最小的探头压力发现了扩张的静脉。基于影像学发现,确立了静脉畸形的诊断。

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本文引用的文献

1
Multimodality imaging of breast hematomas and their mimickers.乳腺血肿及其类似物的多模态影像学表现。
Br J Radiol. 2022 May 1;95(1133):20210514. doi: 10.1259/bjr.20210514. Epub 2022 Mar 9.
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Venous malformation of the pectoral muscle depicted on mammogram.乳腺 X 线片中显示的胸肌静脉畸形。
Clin Imaging. 2020 Jul;63:57-59. doi: 10.1016/j.clinimag.2020.02.017. Epub 2020 Feb 28.
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Intramammary lymph nodes: normal and abnormal multimodality imaging features.乳腺内淋巴结:正常和异常的多模态影像学特征。
Br J Radiol. 2019 Nov;92(1103):20190517. doi: 10.1259/bjr.20190517. Epub 2019 Jul 25.
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Cavernous Hemangioma in the Breast.乳腺海绵状血管瘤
J Breast Health. 2015 Oct 1;11(4):199-201. doi: 10.5152/tjbh.2015.2421. eCollection 2015 Oct.
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2014 Revised Classification of Vascular Lesions from the International Society for the Study of Vascular Anomalies: Radiologic-Pathologic Update.2014 年国际脉管性疾病研究学会修订的脉管性病变分类:放射-病理更新。
Radiographics. 2016 Sep-Oct;36(5):1494-516. doi: 10.1148/rg.2016150197. Epub 2016 Aug 12.
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Venous malformations.静脉畸形
Semin Pediatr Surg. 2014 Aug;23(4):198-202. doi: 10.1053/j.sempedsurg.2014.06.019. Epub 2014 Jul 1.
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Mammographic and sonographic features of fat necrosis of the breast.乳腺脂肪坏死的乳腺X线摄影及超声特征。
Indian J Radiol Imaging. 2013 Oct;23(4):366-72. doi: 10.4103/0971-3026.125619.
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Vascular abnormalities of the breast: arterial and venous disorders, vascular masses, and mimic lesions with radiologic-pathologic correlation.乳房血管异常:动脉和静脉疾病、血管肿块以及与影像学-病理学相关的模拟病变。
Radiographics. 2011 Nov-Dec;31(7):E117-36. doi: 10.1148/rg.317115503.
9
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。
Radiographics. 2011 Nov-Dec;31(7):1959-72. doi: 10.1148/rg.317115116.
10
Cystic masses of the breast.乳腺囊性肿块
AJR Am J Roentgenol. 2010 Feb;194(2):W122-33. doi: 10.2214/AJR.09.3688.