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首页> 外文期刊>Radiology >Breast cancer diagnosis in women with subglandular silicone gel-filled augmentation implants.
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Breast cancer diagnosis in women with subglandular silicone gel-filled augmentation implants.

机译：用腺下硅胶填充的增强植入物对女性进行乳腺癌诊断。

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摘要

PURPOSE: To determine whether breast augmentation implants interfere with detection of breast cancer and to characterize the projections that offer an improvement in the detection of disease. MATERIALS AND METHODS: The mammographic examinations, clinical presentation, and pathologic findings were retrospectively reviewed in 18 patients who underwent breast augmentation with silicone gel-filled implants. RESULTS: At diagnosis, 16 patients (89%) had palpable abnormalities. Standard mammographic views were negative in 17 patients (94%). Modified implant compression views (used with implant displacement) showed abnormalities in 12 patients (67%). Sixteen (89%) of the 18 patients had invasive carcinomas, and seven (39%) had positive axillary lymph nodes. CONCLUSION: Standard mammographic views are inadequate for breast cancer screening in patients with silicone gel-filled implants. Although additional modified compression views offer a moderate improvement in breast cancer detection, imaging with tangentialmammographic views, sonography of palpable areas, and breast physical examination in conjunction with mammography will offer additional benefit in breast cancer detection.
机译：目的：确定隆胸植入物是否会干扰乳腺癌的检测，并表征可改善疾病检测的预测。材料与方法：对18例接受硅胶填充植入物隆胸的患者进行了乳房X线检查，临床表现和病理检查。结果：在诊断时，有16例患者（89％）出现明显异常。 17位患者（94％）的乳房X光检查结果为阴性。修改后的种植体压缩视图（与种植体移位配合使用）显示12例患者异常（67％）。 18例患者中有16例（89％）患有浸润性癌，而7例（39％）的腋窝淋巴结阳性。结论：标准的乳房X光检查不足以对硅胶填充植入物进行乳腺癌筛查。尽管附加的修改后的压缩视图在乳腺癌检测方面有一定程度的改善，但使用切线乳房X线检查图像，可触及区域的超声检查以及与X线检查相结合的乳房物理检查将为乳腺癌检测提供更多好处。

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