Fajardo L L, Harvey J A, McAleese K A, Roberts C C, Granstrom P
Department of Radiology, University of Arizona.
Radiology. 1995 Mar;194(3):859-62. doi: 10.1148/radiology.194.3.7862991.
To determine whether breast augmentation implants interfere with detection of breast cancer and to characterize the projections that offer an improvement in the detection of disease.
The mammographic examinations, clinical presentation, and pathologic findings were retrospectively reviewed in 18 patients who underwent breast augmentation with silicone gel-filled implants.
At diagnosis, 16 patients (89%) had palpable abnormalities. Standard mammographic views were negative in 17 patients (94%). Modified implant compression views (used with implant displacement) showed abnormalities in 12 patients (67%). Sixteen (89%) of the 18 patients had invasive carcinomas, and seven (39%) had positive axillary lymph nodes.
Standard mammographic views are inadequate for breast cancer screening in patients with silicone gel-filled implants. Although additional modified compression views offer a moderate improvement in breast cancer detection, imaging with tangential mammographic views, sonography of palpable areas, and breast physical examination in conjunction with mammography will offer additional benefit in breast cancer detection.
确定隆乳植入物是否会干扰乳腺癌的检测，并确定哪些投照方式能提高疾病的检测率。
回顾性分析18例行硅胶填充式隆乳术患者的乳腺钼靶检查、临床表现及病理结果。
诊断时，16例患者（89%）可触及异常。17例患者（94%）的标准乳腺钼靶视图为阴性。改良的植入物压迫视图（用于植入物移位）显示12例患者（67%）存在异常。18例患者中有16例（89%）患有浸润性癌，7例（39%）腋窝淋巴结阳性。
标准乳腺钼靶视图不足以对硅胶填充式植入物患者进行乳腺癌筛查。尽管额外的改良压迫视图在乳腺癌检测方面有适度改善，但切线乳腺钼靶视图成像、可触及区域的超声检查以及结合钼靶的乳腺体格检查将在乳腺癌检测中提供额外的益处。
