Cystic breast masses and the ACRIN 6666 experience.
Cystic breast masses and the ACRIN 6666 experience.
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DOI：
10.1016/j.rcl.2010.06.007
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发表时间：
2010-09
影响因子：
1.9
通讯作者：
Zhang, Zheng
中科院分区：
文献类型：
--
作者：
Berg, Wendie A.;Sechtin, Alan G.;Marques, Helga;Zhang, Zheng
乳腺囊性病变引起的肿块是乳房X光检查、超声检查和磁共振（MR）成像中极其常见的发现。虽然这些病变中的许多可以被排除为良性单纯囊肿，只需要干预症状缓解，复杂的囊性和实性肿块需要活检。也许最具挑战性的是复杂的囊肿，即内部有碎片的囊肿。当碎片是移动的或可见液体-碎片水平时，复杂的囊肿可被视为良性。乳腺成像报告和数据系统（BI-RADS）1 2，结果。当碎片均质且呈低回声时，通常很难区分复杂的囊肿和实性肿块。作为一个孤立的发现，同质复杂的囊肿可以被归类为可能是良性的，BI-RADS 3，只有当有间隔发展或扩大，如果怀疑脓肿，或如果可疑的功能发展，才考虑干预。当存在多发性和双侧复杂性和简单性囊肿（即至少3个囊肿，每个乳房至少1个）时，通常适合进行良性、BI-RADS 2级评估。绝经前和围绝经期妇女常见的良性病变是微囊肿，尽管短间隔监测可能适用于绝经后妇女的许多此类病变，特别是如果病变是新的或相当小或深（即诊断不确定性）。皮内囊肿，如表皮包涵体囊肿和皮脂腺囊肿，是良性的发现，这是不包括在这篇综述中，越来越多地使用全乳超声筛查揭示了许多，否则隐匿性，囊性病变的乳房，一个全面的了解其影像学表现和管理是很重要的。除了回顾有关此类病变的文献，作者还介绍了美国放射学会成像网络（ACRIN）6666乳腺超声筛查方案的结果。2在ACRIN方案中，乳腺癌高危妇女每年接受乳房X线检查和独立的、由医生进行的徒手超声检查，为期3年。3 ACRIN方案中给定病变的参考标准不仅包括随访第一年内的活检，
Masses due to cystic lesions of the breast are extremely common findings on mammography, ultrasonography, and magnetic resonance (MR) imaging. Although many of these lesions can be dismissed as benign simple cysts, requiring intervention only for symptomatic relief, complex cystic and solid masses require biopsy. Perhaps the most challenging are complicated cysts, that is, cysts with internal debris. When the debris is mobile or a fluid-debris level is seen, complicated cysts can be dismissed as benign. Breast Imaging Reporting and Data System (BI-RADS) 1 2, findings. When the debris is homogeneous and hypoechoic, it is often difficult to distinguish a complicated cyst from a solid mass. As an isolated finding, homogeneous complicated cysts can be classified as probably benign, BI-RADS 3, with intervention only considered if there is interval development or enlargement, if abscess is suspected, or if suspicious features develop. When multiple and bilateral complicated and simple cysts are present (ie, at least 3 cysts, with at least 1 in each breast), a benign, BI-RADS 2, assessment is usually appropriate. Clustered microcysts are common benign findings in pre-and perimenopausal women, although shortinterval surveillance may be appropriate for many such lesions in postmenopausal women, particularly if the lesion is new or rather small or deep (ie, diagnostic uncertainty). Intradermal cysts, such as epidermal inclusion cysts and sebaceous cysts, are benign findings, which are not included in this review.Increasing use of whole breast screening ultrasonography reveals many, otherwise occult, cystic lesions of the breast; a thorough understanding of their imaging findings and management is important. In addition to reviewing the literature on such lesions, the authors present results from the American College of Radiology Imaging Network (ACRIN) 6666 protocol of screening breast ultrasonography. 2 In the ACRIN protocol, women at high risk for breast cancer were screened annually with mammography and independent, physicianperformed, freehand sonography for 3 years. 3 The reference standard for a given lesion in the ACRIN protocol includes not only biopsy within the first year of follow-up or at least
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DOI：
10.1046/j.1524-4741.2002.08007.x
发表时间：
2002-01-01
期刊：
The breast journal
影响因子：
--
作者：
Gizienski, Terri-Ann;Harvey, Jennifer A;Sobel, Amy H
通讯作者：
Sobel, Amy H
影响因子：
19.7
作者：
Berg, Wendie A.;Blume, Jeffrey D.;Mendelson, Ellen B.
通讯作者：
Mendelson, Ellen B.
影响因子：
19.7
作者：
Gordon, PB;Gagnon, FA;Lanzkowsky, L
通讯作者：
Lanzkowsky, L
影响因子：
5
作者：
Buchberger, W;DeKoekkoek-Doll, P;D端nser, M
通讯作者：
D端nser, M
影响因子：
2.3
作者：
Chang, Yun-Woo;Kwon, Kwi Hyang;Yang, Seung Boo
通讯作者：
Yang, Seung Boo