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特殊类型的乳腺癌:临床行为与影像学表现

Special Types of Breast Cancer: Clinical Behavior and Radiological Appearance.

作者信息

Conti Marco, Morciano Francesca, Amodeo Silvia, Gori Elisabetta, Romanucci Giovanna, Belli Paolo, Tommasini Oscar, Fornasa Francesca, Rella Rossella

机构信息

UOC di Radiologia Toracica e Cardiovascolare, Dipartimento di Diagnostica per Immagini e Radioterapia Oncologica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy.

Facoltà di Medicina e Chirurgia, Università Cattolica Sacro Cuore, Largo F. Vito 1, 00168 Rome, Italy.

出版信息

J Imaging. 2024 Jul 29;10(8):182. doi: 10.3390/jimaging10080182.

Abstract

Breast cancer is a complex disease that includes entities with different characteristics, behaviors, and responses to treatment. Breast cancers are categorized into subgroups based on histological type and grade, and these subgroups affect clinical presentation and oncological outcomes. The subgroup of "special types" encompasses all those breast cancers with insufficient features to belong to the subgroup "invasive ductal carcinoma not otherwise specified". These cancers account for around 25% of all cases, some of them having a relatively good prognosis despite high histological grade. The purpose of this paper is to review and illustrate the radiological appearance of each special type, highlighting insights and pitfalls to guide breast radiologists in their routine work.

摘要

乳腺癌是一种复杂的疾病,包括具有不同特征、行为和对治疗反应的实体。乳腺癌根据组织学类型和分级分为亚组,这些亚组会影响临床表现和肿瘤学结局。“特殊类型”亚组包括所有那些特征不足以归为“非特殊型浸润性导管癌”亚组的乳腺癌。这些癌症约占所有病例的25%,其中一些尽管组织学分级高,但预后相对较好。本文的目的是回顾并阐述每种特殊类型的放射学表现,强调要点和陷阱,以指导乳腺放射科医生的日常工作。

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