Accurate segmentation of breast tumors in Dynamic Contrast-Enhanced Magnetic Resonance Imaging (DCE-MRI) is essential for the early diagnosis of breast cancer. However, existing Transformer and Mamba-based architectures suffer from either excessive computational complexity or inadequate performance, creating an urgent need for structural innovation to achieve an optimal balance between accuracy and efficiency. We propose a dual-branch Hybrid Efficient Transformer Network (HCRT) to address these challenges. HCRT employs Light Ghost Blocks for efficient feature extraction and introduces a Correlation-Aware Region Transformer Block (CART), which utilises Multi-Dconv Channel Attention (MDCA) to capture long-range dependencies efficiently; in the auxiliary branch, a similarity matrix is generated through the Position-Aware (PAC) Correlation mechanism to weight attention maps in MDCA, preserving fine-grained spatial details. This design significantly reduces computational complexity from O(N2) to O(C2). Additionally, we propose Regional Prototype Contrastive Learning (RPCL), which operates solely during training to enhance model generalisation without compromising inference efficiency. Extensive experiments on a large-scale dataset of over 1000 cases and three additional datasets demonstrate that our method achieves superior segmentation accuracy and stronger generalisation ability. The code is available at https://github.com/ZhouL-lab/HCRT.
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