Breast cancer diagnosis in women with subglandular silicone gel-filled augmentation implants.
Breast cancer diagnosis in women with subglandular silicone gel-filled augmentation implants.
复制标题
使用腺下硅胶填充增强植入物对女性进行乳腺癌诊断。
DOI：
10.1148/radiology.194.3.7862991
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发表时间：
1995
期刊：
影响因子：
19.7
通讯作者：
Granstrom,P
中科院分区：
文献类型：
--
作者：
Fajardo,LL;Harvey,JA;McAleese,KA;Roberts,CC;Granstrom,P
目的 确定隆胸假体是否干扰乳腺癌的检测，并表征可改善疾病检测的预测。材料和方法对 18 名接受硅胶填充假体隆胸的患者的乳房 X 光检查、临床表现和病理结果进行回顾性分析。结果诊断时，16 名患者 (89%) 有明显异常。 17 名患者 (94%) 的标准乳房 X 光检查结果呈阴性。修改后的种植体压缩视图（与种植体移位一起使用）显示 12 名患者 (67%) 存在异常。 18 名患者中有 16 名 (89%) 患有浸润性癌，7 名 (39%) 腋窝淋巴结阳性。 结论 标准乳房 X 线摄影视图不足以用于硅胶填充植入物患者的乳腺癌筛查。虽然额外改进的压缩视图对乳腺癌检测有一定的改善，但切向乳房 X 线摄影视图成像、可触及区域的超声检查以及与乳房 X 线摄影相结合的乳房体检将为乳腺癌检测提供额外的好处。
PURPOSETo 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 METHODSThe mammographic examinations, clinical presentation, and pathologic findings were retrospectively reviewed in 18 patients who underwent breast augmentation with silicone gel-filled implants.RESULTSAt 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.CONCLUSIONStandard 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 tangential mammographic views, sonography of palpable areas, and breast physical examination in conjunction with mammography will offer additional benefit in breast cancer detection.