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首页> 外文期刊>Journal of breast imaging. >Radiologic and Pathologic Correlation for Lactating Adenomas
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Radiologic and Pathologic Correlation for Lactating Adenomas

机译：放射和病理的相关性哺乳期腺瘤

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摘要

Lactating adenomas are benign breast lesions that occur in pregnant, lactating, and postpartum women. These lesions have no associated malignant potential; their origin is disputed with no consensus on whether they represent hyperplastic or neoplastic processes. On ultrasound, lactating adenomas are classically described as solid, circumscribed, parallel masses with iso/hypoechoic internal echotexture and posterior enhancement. Histologically, lactating adenomas appear as circumscribed nodules of tightly packed lobular acini with extensive lactational change during pregnancy or the postpartum period. Masses in pregnant and lactating women with probably benign imaging characteristics-oval, circumscribed, parallel, iso/hypoechoic-can be managed with short interval follow-up (BI-RADS 3) rather than biopsy. However, lactating adenomas can also demonstrate characteristics that overlap with pregnancy-associated breast cancer, such as margins that are not circumscribed, prompting biopsy to exclude pregnancy-associated carcinoma. Breast imaging radiologists must be aware of the variable appearances of lactating adenomas to appropriately manage pregnant and lactating women presenting with palpable lumps.
机译：哺乳期腺瘤是良性乳腺病变发生在怀孕、哺乳期和产后女性。潜在的;共识是否代表增生性或肿瘤的过程。腺瘤通常被描述为固体,限制、并行质量iso /低回声区内部echotexture和后增强。表现为局限性结节紧密小叶腺泡和广泛哺乳的改变孕期或产后。孕妇和哺乳期妇女的可能良性的成像characteristics-oval,限制,平行,iso / hypoechoic-can用短间隔后续管理(BI-RADS 3)而不是活组织检查。还可以展示特征重叠与乳乳腺癌,如利润率不限制,促使乳素活检排除癌。乳房成像放射科医生必须意识到变量的表象哺乳期腺瘤适当地管理孕妇和哺乳期妇女呈现明显的肿块。

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