摘要
乳腺原发性淋巴瘤非常罕见,常被误诊为乳腺癌或其他肿瘤,由于其治疗方式特殊,故早期诊断非常重要。临床上发现乳腺无痛性肿块并短期内迅速增大,影像学检查表现为不典型恶性,如缺乏毛刺,T2WI压脂呈稍高信号,ADC值显著降低,弥漫型皮肤广泛增厚而乳头未见凹陷及皮肤橘皮样改变,部分病灶内可以看到典型的肿瘤血管穿行征,可伴同侧腋窝淋巴结肿大,以上这些特征应考虑乳腺淋巴瘤的可能,提示临床进行肿块活检,明确病理后再选取恰当的治疗方案。本文就乳腺原发性淋巴瘤的磁共振表现做一综述报道。
Primary lymphoma of the breast is very rare and often misdiagnosed as breast cancer or other tumors.Due to its special treatment method,early diagnosis is very important.Clinically found breast painless mass and is rapidly increased in the short time,imaging examination is atypical malignant,such as lack of burr,T2WI is a slightly higher signal,ADC value significantly reduced,diffuse skin thickening and papillary depression and orange peel-like changes,typical tumor blood vessels can be seen in some lesions,may be accompanied by ipsilateral axillary lymph node enlargement.These characteristics should consider the possibility of breast lymphoma,suggest a clinical mass biopsy,and then select the appropriate treatment plan after a clear pathology.This review reports the magnetic resonance performance of primary breast lymphoma.
作者
刘洋
何杰
LIU Yang;HE Jie(Department of Radiology,Sir Run Run Shaw Hospital(SRRSH),Zhejiang University School of Medicine,Hangzhou,Zhejiang 310020,China)
出处
《影像研究与医学应用》
2022年第17期4-6,共3页
Journal of Imaging Research and Medical Applications
关键词
原发性淋巴瘤
乳腺
磁共振
Primary lymphoma
Breast
Magnetic resonance
