Frouge C, Cazenave A, Pham E, Juras J, Treut A L, Dilhuydy M, Bléry M
Department of Radiology, Hôpital de Bicêtre, 78, rue du Général Leclerc, F-94275 Le Kremlin Bicêtre, France.
Eur Radiol. 1997;7(2):204-7. doi: 10.1007/s003300050136.
The purpose of this pictorial essay is to describe the different mammographic aspects of residual Lipiodol ultra fluid (LUF) after galactography, and to define some specific patterns, because it may in some cases mimic microcalcifications and give diagnostic problems. The mammograms of 14 patients, aged 32-63 years, presenting LUF residues related to previous galactography, were analyzed retrospectively. In 12 cases the diagnosis was easy because the patients presented a typical pattern on mammography and came with their initial galactography. In 2 cases the diagnosis was more difficult because the patients did not remember the previous injection and the progressive resorption mimicked perfectly intraductal calcification. Benign duct ectasia with inflammatory reaction to foreign bodies were found in 3 cases in which surgery was performed. Lipiodol ultra fluid is no longer used for galactography, but it may persist in breast ducts or cysts for years and seems to still be used in some countries. There are in most cases specific signs enabling the diagnosis.
本图文综述的目的是描述乳腺导管造影后残留超液化碘油(LUF)的不同乳腺钼靶表现,并定义一些特定模式,因为在某些情况下它可能会模仿微钙化并带来诊断问题。回顾性分析了14例年龄在32至63岁之间、存在与既往乳腺导管造影相关的LUF残留的患者的乳腺钼靶片。12例患者的诊断较为容易,因为这些患者在乳腺钼靶上呈现典型模式且带来了最初的乳腺导管造影资料。2例患者的诊断较为困难,因为患者不记得之前的注射情况,且其逐渐吸收的过程完美地模仿了导管内钙化。3例行手术的病例中发现了伴有对外来物质炎症反应的良性导管扩张。超液化碘油已不再用于乳腺导管造影,但它可能会在乳腺导管或囊肿中存留数年,而且在一些国家似乎仍在使用。大多数情况下有特定的征象有助于诊断。