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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.

DOI:10.3390/jimaging10080182
PMID:39194971
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11355320/
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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Special Types of Breast Cancer: Clinical Behavior and Radiological Appearance.特殊类型的乳腺癌:临床行为与影像学表现
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Refinement of breast cancer classification by molecular characterization of histological special types.通过组织学特殊类型的分子特征优化乳腺癌分类
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Classifying invasive lobular carcinoma as special type breast cancer may be reducing its treatment success: A comparison of survival among invasive lobular carcinoma, invasive ductal carcinoma, and no-lobular special type breast cancer.将浸润性小叶癌归类为特殊型乳腺癌可能会降低其治疗成功率:浸润性小叶癌、浸润性导管癌和非小叶特殊型乳腺癌生存情况比较。
PLoS One. 2023 Jul 10;18(7):e0283445. doi: 10.1371/journal.pone.0283445. eCollection 2023.
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Special types of invasive breast cancer, with clinical implications.具有临床意义的特殊类型浸润性乳腺癌。
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The term "classic invasive lobular carcinoma" of the breast defines breast malignancies of vastly different nature.“经典型浸润性小叶癌”这一术语定义了性质迥异的乳腺恶性肿瘤。
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Histological and molecular types of breast cancer: is there a unifying taxonomy?乳腺癌的组织学和分子类型:是否存在统一的分类法?
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Histological types of breast cancer: how special are they?乳腺癌的组织学类型:它们有多特殊?
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Comparison of Oncotype DX Recurrence Score by Histologic Types of Breast Carcinoma.不同组织学类型乳腺癌的Oncotype DX复发评分比较。
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Predictive and Prognostic Values of Glycoprotein 96, Androgen Receptors, and Extranodal Extension in Sentinel Lymph Node-Positive Breast Cancer: An Immunohistochemical Retrospective Study.糖蛋白96、雄激素受体及前哨淋巴结阳性乳腺癌结外侵犯的预测和预后价值:一项免疫组织化学回顾性研究
J Clin Med. 2024 Dec 16;13(24):7665. doi: 10.3390/jcm13247665.

本文引用的文献

1
Invasive lobular breast cancer: Focus on prevention, genetics, diagnosis, and treatment.浸润性小叶乳腺癌:关注预防、遗传学、诊断和治疗。
Semin Oncol. 2024 Jun-Aug;51(3-4):106-122. doi: 10.1053/j.seminoncol.2024.05.001. Epub 2024 May 20.
2
Artificial Intelligence for Breast Cancer Detection on Mammography: Factors Related to Cancer Detection.人工智能在乳腺 X 线摄影中的乳腺癌检测:与癌症检测相关的因素。
Acad Radiol. 2024 Jun;31(6):2239-2247. doi: 10.1016/j.acra.2023.12.006. Epub 2024 Jan 11.
3
Artificial Intelligence in Breast Cancer Diagnosis and Personalized Medicine.
人工智能在乳腺癌诊断与个性化医疗中的应用
J Breast Cancer. 2023 Oct;26(5):405-435. doi: 10.4048/jbc.2023.26.e45.
4
Digital mammography and digital breast tomosynthesis for detecting invasive lobular and ductal carcinoma.数字乳腺 X 线摄影和数字乳腺断层合成术用于检测浸润性小叶癌和导管癌。
Breast Cancer Res Treat. 2023 Dec;202(3):505-514. doi: 10.1007/s10549-023-07051-6. Epub 2023 Sep 11.
5
Salivary Gland-like Tumors of the Breast.乳腺涎腺样肿瘤。
Arch Pathol Lab Med. 2023 Sep 1;147(9):1014-1024. doi: 10.5858/arpa.2023-0038-RA.
6
Primary Mucinous Cystadenocarcinoma of the Breast Intermixed with Pleomorphic Invasive Lobular Carcinoma: The First Report of This Rare Association.乳腺原发性黏液性囊腺癌合并多形性浸润性小叶癌:这种罕见关联的首例报告
J Pers Med. 2023 Jun 3;13(6):948. doi: 10.3390/jpm13060948.
7
The performance of contrast-enhanced mammography and breast MRI in local preoperative staging of invasive lobular breast cancer.增强型乳腺钼靶摄影和乳腺 MRI 在浸润性小叶乳腺癌局部术前分期中的表现。
Eur J Radiol. 2023 Jul;164:110881. doi: 10.1016/j.ejrad.2023.110881. Epub 2023 May 13.
8
Axillary lymph node status and invasive lobular breast cancer : Analysis of the Clinical Tumor Register of the AGO Austria.腋窝淋巴结状态与浸润性小叶乳腺癌:AGO 奥地利临床肿瘤登记处分析。
Wien Klin Wochenschr. 2023 Sep;135(17-18):463-471. doi: 10.1007/s00508-023-02162-y. Epub 2023 Apr 3.
9
Mammary mucinous cystadenocarcinoma with long-term follow-up: molecular information and literature review.乳腺黏液囊腺癌的长期随访:分子信息和文献复习。
Diagn Pathol. 2023 Feb 4;18(1):13. doi: 10.1186/s13000-023-01302-2.
10
An update on the pathological classification of breast cancer.乳腺癌病理分类的最新进展。
Histopathology. 2023 Jan;82(1):5-16. doi: 10.1111/his.14786.