Abramson Lisa, Massaro Lindsey, Alberty-Oller J Jaime, Melsaether Amy
Icahn School of Medicine at Mount Sinai, Department of Radiology, New York, NY.
Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
J Breast Imaging. 2019 Dec 5;1(4):342-351. doi: 10.1093/jbi/wbz065.
Breast imaging during pregnancy and lactation is important in order to avoid delays in the diagnosis and treatment of pregnancy-associated breast cancers. Radiologists have an opportunity to improve breast cancer detection by becoming familiar with appropriate breast imaging and providing recommendations to women and their referring physicians. Importantly, during pregnancy and lactation, both screening and diagnostic breast imaging can be safely performed. Here we describe when and how to screen, how to work up palpable masses, and evaluate bloody nipple discharge. The imaging features of common findings in the breasts of pregnant and lactating women are also reviewed. Finally, we address breast cancer staging and provide a brief primer on treatment options for pregnancy-associated breast cancers.
孕期和哺乳期的乳腺成像对于避免妊娠相关乳腺癌诊断和治疗的延误至关重要。放射科医生有机会通过熟悉适当的乳腺成像并向女性及其转诊医生提供建议来提高乳腺癌的检出率。重要的是，在孕期和哺乳期，筛查和诊断性乳腺成像均可安全进行。在此，我们描述何时以及如何进行筛查、如何检查可触及的肿块以及评估乳头血性溢液。我们还将回顾孕期和哺乳期女性乳房常见表现的成像特征。最后，我们讨论乳腺癌分期，并简要介绍妊娠相关乳腺癌的治疗选择。
