感情是难得的

L. Lévy, M. Suissa, J.-F. Chiche, J. Bokobsa
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引用次数: 2

摘要

不寻常的乳腺病变是诊断上的挑战。这些病变包括全身性疾病、良性肿瘤、原发性或转移性恶性肿瘤。淋巴结病是与胶原蛋白疾病相关的最常见的发现。糖尿病性乳腺病变的结果是一个非常硬的肿块,肿块的超声表现为低回声,减弱,而恶性肿瘤则很明显。纤维瘤病也可以模拟原始癌症(乳房x光检查不规则致密肿块,超声检查低回声和衰减)。巨细胞瘤通常形成规则的、不均匀的肿块。叶叶触碰到了年轻女子;其特征为良性肿块型,圆形,体积迅速增大。髓质癌的诊断是很重要的,因为它是最好的预测。它携带一个圆形或椭圆形的质量,具有规则的形状。组织学诊断困难。淋巴瘤表现为一个或多个边界清楚的肿块,不钙化。乳腺转移灶形成规则的、不致密的肿块或弥漫性皮肤增厚。放射科医生必须熟悉这些方面,以避免陷阱诊断,并允许早期和适当的管理。
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Affections rares du sein

Unusual breast lesions are a diagnostic challenge. These lesions include systemic diseases, benign tumours, primary or metastatic malignant tumours. Lymphadenopathy is the most common finding associated to collagen disease. Diabetic mastopathy results in a very hard mass, with US aspect of a hypoechoic mass, attenuating, while imposing for a malignant tumour. The fibromatosis can also simulate a primitive cancer (irregular dense mass in mammography, hypoechoic and attenuating in sonography). The giant cells tumour generally results in a regular, heterogeneous mass. The phyllodes touch the young woman; they are characterized by a benign mass type, round, increasing size rapidly. Medullar carcinoma is important to diagnose because of its best forecast. It carries out a round or oval mass, with regular shapes. The histological diagnosis is difficult. The lymphoma appears as one or more well circumscribed masses, not calcified. Mammary metastases produce regular, not very dense masses or a diffuse cutaneous thickening. The radiologist must familiarize himself with these aspects in order to avoid the traps diagnoses and to allow an early and appropriate management.

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