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首页> 外文期刊>Journal of breast imaging. >Radiologic and Pathologic Correlation for Angiolipomas of the Breast
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Radiologic and Pathologic Correlation for Angiolipomas of the Breast

机译：放射和病理的相关性Angiolipomas乳房

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Angiolipomas of the breast are rare; however, they are an important entity for the radiologist who determines radiologic-pathologic concordance and recommends appropriate management. They can present as a palpable concern, prompting diagnostic workup, or can be detected on screening breast examinations.They often present as a circumscribed low-density mass on mammography, which is hyperechoic on sonography; associated fibrin thrombi can produce soft tissue density and/or hypoechoic foci that appear hypointense onT1-weighted MRI. Due to the nonspecific radio-graphic appearance, tissue sampling is often required for definitive diagnosis. Pathologically, angiolipomas can be difficult to distinguish from angiosarcomas; however, scattered microthrombi in small blood vessels are a typical feature of angiolipomas. Generally, in the setting of radiologic-pathologic concordance, angiolipomas do not need to be excised and can be followed clinically when palpable. Surgical excision can be pursued when certain high-risk features, such as nuclear enlargement, an infiltrative pattern, endothelial mitoses, and a high proliferation rate, are present in the core-needle biopsy specimen.
机译：Angiolipomas乳房是罕见的;的一个重要实体是放射科医师吗决定radiologic-pathologic一致性和建议适当的管理。现在作为一个显而易见的问题,促使诊断,或者能被探测到检查乳房检查。作为一个限制低密度质量乳房x光检查,超声高回声;纤维蛋白血栓可以产生软组织相关联和/或病灶呈低密度hypointense onT1-weighted MRI。非特异性radio-graphic外观、组织抽样往往是需要明确的诊断很难区分血管肉瘤;然而,分散microthrombi小血船只angiolipomas的一个典型特征。一般来说,设置的radiologic-pathologic和合,angiolipomas不需要切除,可以遵循临床上明显。时追求某些高风险特性,等当核扩大,一种渗透性的模式,内皮细胞有丝分裂和增殖率,存在于穿刺活检标本。

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