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乳腺叶状肿瘤的MRI特征及鉴别诊断
引用本文:罗冉,汪登斌,王丽君. 乳腺叶状肿瘤的MRI特征及鉴别诊断[J]. 国际医学放射学杂志, 2014, 0(5): 426-429
作者姓名:罗冉  汪登斌  王丽君
作者单位:上海交通大学医学院附属新华医院放射科,200092
基金项目:国家自然科学基金(81371621);上海市卫生系统优秀学科带头人计划
摘    要:乳腺叶状肿瘤(PT)是一类少见的乳腺肿瘤,具有上皮和间叶细胞双向分化的特点,表现多样,在临床及影像上可与纤维腺瘤、边缘光整的乳腺癌或乳腺肉瘤相似,在治疗及预后方面则明显不同。传统影像学诊断PT价值有限,而在乳腺增强MRI及功能成像上,PT的影像表现具有一定特征性,对术前诊断及活检穿刺定位有重要意义。就PT的临床表现、病理、MRI特征及鉴别诊断予以综述。

关 键 词:乳腺  叶状肿瘤  磁共振成像  纤维腺瘤  乳腺癌

Phyllodes tumors of breast:magnetic resonance imaging findings and differential diagnosis
LUO Ran,WANG Dengbin,WANG Lijun. Phyllodes tumors of breast:magnetic resonance imaging findings and differential diagnosis[J]. International Journal of Medical Radiology, 2014, 0(5): 426-429
Authors:LUO Ran  WANG Dengbin  WANG Lijun
Affiliation:. (Department of Radiology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China)
Abstract:Phyllodes tumors(PTs) are uncommon fibroepithelial tumors of breast and are capable of a diverse range of biological behaviors. Clinically and radiologically PTs may manifest as fibroadenomas, or demarked carcinoma and sarcoma.However, the treatments and outcomes are quite different. Conventional radiological methods play a limited role in diagnosis,while dynamic enhanced magnetic resonance imaging(MRI) and functional MRI can provide specific information, and are useful in pre-surgical diagnosis and localization for biopsy. In this article we reviewed PT in clinical features, pathological findings, MRI features and differential diagnosis.
Keywords:Breast  Phyllodes tumors  Magnetic resonance imaging  Fibroadenoma  Breast carcinoma
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