|
|
| [PMID]: | 28076009 |
| [Au] Autor: | Gao Y; Ibidapo O; Toth HK; Moy L |
| [Ad] Endereço: | From the Department of Radiology, New York University-Langone Medical Center, 160 E 34th St, New York, NY 10016 (Y.G., O.I., H.K.T., L.M.); and the Center for Advanced Imaging Innovation and Research, New York University School of Medicine, New York, NY (L.M.). |
| [Ti] Título: | Delineating Extramammary Findings at Breast MR Imaging. |
| [So] Source: | Radiographics;37(1):10-31, 2017 Jan-Feb. | | [Is] ISSN: | 1527-1323 |
| [Cp] País de publicação: | United States |
| [La] Idioma: | eng |
| [Ab] Resumo: | Breast magnetic resonance (MR) imaging is the only breast imaging modality that consistently encompasses extramammary structures in the thorax and upper abdomen. Incidental extramammary findings on breast MR images of patients with a history of breast cancer or other malignancies are significantly more likely to be malignant and may affect staging and treatment. An understanding of the frequency, distribution, and context of extramammary findings on breast MR images and a familiarity with common and uncommon sites of breast cancer metastasis inform the differential diagnosis and prompt the appropriate diagnostic next step, to differentiate benign from malignant findings. High-yield organ systems on breast MR images, as reflected by a high positive predictive value for malignancy, are correlated with known distant sites of breast cancer metastasis in the bone, lung, liver, and lymph nodes. Staging is considered when disease involves the skin and chest wall. Unusual sites of breast cancer metastasis from invasive lobular carcinoma are discussed, including the gastrointestinal tract, peritoneum, and adrenal glands. Nonmalignant clinically important findings involving the cardiovascular and gastrointestinal systems are reviewed, and potential pitfalls in diagnosis and interpretation are highlighted. A consistently systematic diagnostic approach is emphasized for identifying extramammary abnormalities on breast MR images. All things considered, the radiologist should be able to improve diagnostic sensitivity and specificity while interpreting extramammary findings on breast MR images. RSNA, 2017. |
| [Mh] Termos MeSH primário: |
Neoplasias Abdominais/diagnóstico por imagem
Doenças Mamárias/diagnóstico por imagem
Achados Incidentais
Imagem por Ressonância Magnética/métodos
Dermatopatias/diagnóstico por imagem
Doenças Torácicas/diagnóstico por imagem
|
| [Mh] Termos MeSH secundário: |
Diagnóstico Diferencial
Medicina Baseada em Evidências
Seres Humanos
|
| [Pt] Tipo de publicação: | JOURNAL ARTICLE; REVIEW |
| [Em] Mês de entrada: | 1709 |
| [Cu] Atualização por classe: | 170926 |
[Lr] Data última revisão:
| 170926 |
| [Sb] Subgrupo de revista: | IM |
| [Da] Data de entrada para processamento: | 170112 |
| [St] Status: | MEDLINE |
| [do] DOI: | 10.1148/rg.2017160051 |
| |
|
|
