Tilanus-Linthorst M M, Obdeijn A I, Bontenbal M, Oudkerk M
Dr. Daniel den Hoed Cancer Center, Rotterdam, The Netherlands.
Breast Cancer Res Treat. 1997 Jun;44(2):179-82. doi: 10.1023/a:1005774009740.
In 4 women with adenocarcinoma metastasis in an axillary lymph node and no primary tumor found, we investigated whether Magnetic Resonance Imaging (MRI) of the breast could detect a clinically and mammographically occult breast tumor. MRI detected an enhancing lesion in 3 women and an enhancing double lesion in one patient. MRI directed ultrasound guided fine needle aspiration cytology confirmed the 5 breast carcinomas in the 4 women. In women with metastasis in an axillary lymph node consistent with breast cancer and without a primary tumor, MRI of the breast should added to clinical examination and mammography before defining it as an occult primary and planning therapy.
在4例腋窝淋巴结有腺癌转移但未发现原发肿瘤的女性患者中，我们研究了乳腺磁共振成像（MRI）能否检测出临床及乳腺X线摄影隐匿的乳腺肿瘤。MRI在3例女性患者中检测到强化病变，在1例患者中检测到强化双病变。MRI引导下超声引导细针穿刺细胞学检查证实了这4例女性患者中的5例乳腺癌。对于腋窝淋巴结转移且与乳腺癌相符但无原发肿瘤的女性，在将其定义为隐匿性原发肿瘤并制定治疗方案之前，应将乳腺MRI检查添加到临床检查和乳腺X线摄影中。
