Rozhkova N I, Kharchenko V P, Iakobs L Ts
Vestn Rentgenol Radiol. 1995 Nov-Dec(6):15-8.
The concept of nodal mastopathy is accumulative. Both fibrotic segments and fibroadenomas, cysts, lipomas and other formations with atypical manifestations may serve as a substrate for forming a node. In addition to the clinical method, a diagnostic set should involve mammography that detects the true nature of a formation in 75-91% of cases, traditional sonography providing additional information in cysts in 88% of cases, Doppler sonography suspecting enhanced proliferative processes by the higher blood flow velocity and defining indications for surgical treatment, as well as new puncture bioptic procedures yielding better information materials by 25-30%. The comprehensive assessment of non-specific manifestations of nodal mastopathies from the data obtained by diagnostic techniques enables a more exact preoperative diagnosis to be made.
结节性乳腺病的概念是累积性的。纤维化节段以及纤维腺瘤、囊肿、脂肪瘤和其他具有非典型表现的病变都可能成为形成结节的基础。除临床方法外,诊断手段应包括乳腺钼靶检查,其在75%至91%的病例中能检测出病变的真实性质;传统超声检查在88%的囊肿病例中可提供额外信息;多普勒超声检查通过较高的血流速度怀疑增殖过程增强并确定手术治疗指征;还有新的穿刺活检程序能提供质量提高25%至30%的信息材料。通过诊断技术所获数据对结节性乳腺病非特异性表现进行综合评估,可做出更准确的术前诊断。