小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 乳腺痛
- 两侧乳房弥漫性对称性肿块
其他诊断因素
- 年龄为 30 岁至 50 岁
- 乳头溢液
- 可触及乳房肿块
危险因素
- 迟发型绝经
- 第一次分娩年龄较晚
- 未育
- 肥胖
- 雌激素替代治疗
诊断性检查
首要检查
- 乳房 X 线检查
- 乳腺超声检查
需考虑的检查
- 囊肿抽吸
- 乳腺活组织检查
治疗流程
乳腺痛
乳头溢液
撰稿人
作者
Sonia Sugg, MD
Professor of Surgery
Division of Surgical Oncology and Endocrine Surgery
University of Iowa Hospitals and Clinics
Iowa City
IA
利益声明
SS declares that she has no competing interests.
Ingrid Lizarraga, MBBS, FACS
Clinical Associate Professor
Division of Surgical Oncology and Endocrine Surgery
University of Iowa Hospitals and Clinics
Iowa City
IA
利益声明
IL declares that she has no competing interests.
鸣谢
Dr Sonia Sugg and Dr Ingrid Lizarraga would like to gratefully acknowledge Dr Sophia Fu, Dr Sarah E. Colwick, Dr Hernan I. Vargas, Dr Carol Scott-Connor, Dr Anjali Thawani, and Dr Jesse Dirksen, the previous contributors to this topic. SEC, HIV, CSC, AT and JD declare that they have no competing interests.
利益声明
SF, SEC, HIV, CSC, AT, and JD declared that they had no competing interests.
同行评议者
Fred Dirbas, MD
Assistant Professor of Surgical Oncology
Stanford University
Stanford
CA
利益声明
FD declares that he has no competing interests.
Justin Stebbing, MA, MRCP, MRCPath, PhD
Consultant Medical Oncologist/Senior Lecturer
Imperial College Healthcare NHS Trust
Charing Cross Hospital
London
UK
利益声明
JS declares that he has no competing interests.
鉴别诊断
- 胸壁痛
- 肋软骨炎
- 纤维腺瘤
更多 鉴别诊断指南
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- ACR 适用性标准 (ACR appropriateness criteria)：可触及乳房肿块
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