| 李向阳,杨 琛.乳腺癌患者保乳术后瘢痕与复发的影像学鉴别诊断研究进展[J].肿瘤学杂志,2024,30(7):563-569. |
| 乳腺癌患者保乳术后瘢痕与复发的影像学鉴别诊断研究进展 |
| Multi-Modality Imaging for Differential Diagnosis Between Postoperative Scar Formation and Brest Cancer Recurrence in Patients with Breast Conserving Surgery |
| 投稿时间：2024-01-05 |
| DOI：10.11735/j.issn.1671-170X.2024.07.B006 |
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| 中文关键词: 乳腺肿瘤 影像学诊断 保乳手术 瘢痕 肿瘤复发 |
| 英文关键词:breast cancer imaging diagnosis breast conserving surgery scar postoperative recurrence |
| 基金项目:浙江省医药卫生健康科技计划（2023KY561） |
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| 中文摘要: |
| 摘 要：乳腺癌是全球范围内最常见的女性恶性肿瘤，乳腺癌患者选择保乳手术的比例不断增加。术后瘢痕的形成及其与乳腺癌术后复发的鉴别成为临床管理中的一个关键问题。全文总结乳腺癌保乳术后瘢痕形成过程的分期和病理特点，以及各种影像学技术（超声、乳腺X线摄影和磁共振成像等）在乳腺癌保乳术后瘢痕诊断中的应用。尽管目前还没有一种影像学检查方法能够完全区分术后瘢痕和乳腺癌术后复发，但通过对不同影像学特征的综合分析，以期能够提供一些鉴别诊断的线索和指导，为临床决策提供更准确的诊断信息。 |
| 英文摘要: |
| Abstract： Breast cancer is the most common malignancies among women worldwide， and the proportion of breast cancer patients opting for breast-conserving surgery (BCS) is increasing. However， the formation of postoperative scars and their differentiation from postoperative recurrence of breast cancer have become key issues in clinical management. This review summarized the staging and pathological characteristics of postoperative scar formation and the application of various imaging techniques in the diagnosis of scars after breast-conserving surgery for breast cancer， including ultrasonography， mammography， and magnetic resonance imaging. Although no single imaging modality can completely differentiate postoperative scars from postoperative recurrence of breast cancer， a comprehensive analysis of different imaging features can provide valuable clues and guidance for clinical decision-making. |
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