乳头乳晕复合体的病理和异常的诊断： 一系列临床病例

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乳头乳晕复合体是一种特殊的解剖学和组织学结构。正常结构的变异性、病理过程的广泛性和诊断成像的复杂性给放射科医生和临床医生带来困难。乳房磁共振成像是检测结构特征、诊断涉及乳头乳晕复合体的良性和恶性疾病的最灵敏方法。在乳腺钼靶和超声检查结果不明确的情况下，磁共振成像作为一种额外的诊断工具非常有用。磁共振成像允许看到乳腺后区，适合诊断乳头瘤、腺瘤、佩吉特氏病、导管原位癌和浸润性癌。

我们在这篇文章中描述了乳头乳晕复合体的病理和异常的临床病例，这可能会对放射科医生、妇科医生和临床住院医师有用。

作者简介

Elena N. Karanadze

Clinical Diagnostic Center MEDSI on Krasnaya Presnya

编辑信件的主要联系方式.
Email: ekaranadze@mail.ru
ORCID iD: 0000-0001-6745-1672

MD, Cand. Sci. (Med.)

俄罗斯联邦, Moscow

Valentin E. Sinitsyn

Lomonosov Moscow State University, Medical Scientific and Educational Center

Email: info@npcmr.ru
ORCID iD: 0000-0002-5649-2193
SPIN 代码: 8449-6590

MD, Dr. Sci. (Med), Professor

俄罗斯联邦, Moscow

Mariia A. Karanadze

The Russian National Research Medical University named after N.I. Pirogov

Email: ekaranadze@mail.ru
ORCID iD: 0009-0008-1723-6796
俄罗斯联邦, Moscow

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补充文件

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1. JATS XML
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2. 图1。佩吉特氏病的乳头糜烂性变化。

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3. 图2。佩吉特氏病：彩色多普勒显像的血流增加。

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4. 图3。磁共振成像上的佩吉特氏病（早期对比度增强阶段）：乳晕后区有一个从乳头位延伸到乳房后面的节段性对比区（箭头）。

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5. 图4。磁共振成像上的佩吉特氏病（最大强度投影，MIP）：乳晕后区有一个从乳头位延伸到乳房后面的节段性对比区（箭头）。

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6. 图5。乳头腺瘤：乳腺钼靶（斜投影，MLO）。

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7. 图6。乳头腺瘤：乳腺钼靶（直接投影，CC）。

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8. Figure 7. Magnetic resonance imaging of a nipple adenoma (early postcontrast series): a right nipple mass homogeneously accumulating a contrast agent (arrow).

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9. 图8。磁共振成像上的乳头腺瘤（参数图）：快速对比度剂增强及随后复位的乳头肿块，III型图形曲线。

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10. 图9。磁共振成像（早期对比度增强后系列）：左边乳头对比剂积聚不对称，正常（箭头）。

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11. 图10。磁共振成像（MIP）：左边乳头对比剂积聚不对称，正常（箭头）。

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12. 图11。乳头内陷时的左乳超声检查。

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13. 图12。磁共振成像（减影）：乳晕后的肿块积聚对比剂（内陷乳头，箭头）。

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