Cạm bẫy trong siêu âm vú

NHUNG CAM BAY TRONG DANH GIA

TON THUONG VO TREN SIBU AM

(PITFALLS IN BREAST LESIONS
ASSESSMENT ON ULTRASOUND)

Botd LE HONCGLIC

HOI NGHY SEU AW TOR QUOL LAN THU shu VSL) |
THEO" NATIONAL CONGRESS OF VIETNAMESE SOCIETY OF ULTRASOUND IN MEDICINE XIN
ow sé
TR piu gy 0-8 thin nn He Cy, eh DI Na
vat

}Dang Ton Thuong abn thay dug trén Si

(ST (NANG)

MASS LESIONS (KHON

NON MASS LESIONS (KHONG 140 KHO

NHAN DINE sai lim Din gi

+ DoChinh gain khong phir hop! time cd th (md xm) bru sma, nang 8 bu

+ Chim vi nang vn vi (ivi bia ron bu) > kt hyp ai ih

+ Nang bie hinge hi kn phn bo nyc mu (cin dnh i bin SA vi mh

Nhirg i i dBi st ut

+ uhiunangbien ching nn ko pt hin cc ung thn =) Nen Kh St him La
+ soulinh i ih lo yng (> 3 lon nha rn 2 tui 35),

SAMM, SADE,

- Nen ot ie khim SA; cam nbn d6 cin, chic, cimg cua nan vs MU

CYST

+ Nang vi nich mit hon op chin din bao go bt thing ve pt tn,

vn, tng sin bia vin ke, vu,
+ Xayr10a% #phu7at.
+ (énnhieu nang

+ Nang hinge thn phn de (gom ANC DON GLA vd NANG BIEN CHUNG) 4

vik gin rt ming >) King im ning tn, chi can thi Ki cn tht (o, a, ng)

Do gin oc dn vi eu thy - ng tin v at cn bin ch i - hap th

+ Nang chia chinh pin dj (\ANG PLC TAP) ob hi hay vch nin dy> pica

ti: hot dich, YABB, mo ton

\ 17 yg

ph thud vio ban chat can,

NANG: Nang Dom Gi im wing UT OY), nangbien ching, an pit tp,

+ Cott bio Gong nang the King on thy, hoe nin
thiy'SA d ph git cao neu duoc ot ont bao tru ting tt,
+ Nhủ ing i i i Mi ry) Mi nalg i a < Jn tia, I

itil ind gi, :b: T

SG jỗÐ

0000)

Wa Ụ Ped tor dependence of physicin-perfomed whole breast US: lesion detection and characterization

Dame, Blume ), Cormack JB, eta, Radiology 2006241355-6, PubMed: 17057064]

Xiao anh i! hanh rút tửt tt. Raga ag
nant} thing vi ong ten vi
CDPB hing SADHL many
Cystic Brest Masses and the ACRIN 6666 Experence, Wendie A. Berg, MD, PhD,

Radiol Clin NortAhm, 2010 Septembe4r8(;S): 931-987

N Chim vi nang + cin vox

aa \\linvyn Ubin

+ Khao sat) mo vt gta cdc

| 1

«Dai ctu NA: pn oa vi
vbi

SIEU AMDAN HOISE:

BGR (Blue-Green-Repdh)n

li xo anh cla nang vs buou

Gain chinh khong phit hop;

Ñ uu dj ding thin Nang vi

B Lin mo ceca pha un hie th

vim

Nang vi dit gi thinh Bou

die:

SA trong clog | tụy vo 2 may

SAkhic nha, Bin pany SA Đã

00 d0 lyga tn

Clustered irntyd duyên in doh t+ (are metaplasia) chim vi nag’,

i fm &£

Ls

| | law

Aah a)
At ¿
ộ ( RI tậu ,

Ï

(A) Radial and (B) antadial LU Vs» un chi nang

~ Xuat he02nvt?

~ Thanh phin dc gia cdc nang?
-Be diy vach nang?

Nì sang hoon ung tn NA va SA
Kh thay do sau 48 thing theo di

Heather|, Greenwood, Clustered Microcsts on Breast Utrasound; What I an

Appropriate Management Recommendation? AIK 2017; 209:W/395-W399

Clustered Microcysts at Breast US: Ouicomes and Updates

for Appropriate Management Recommendations

AlysaR Goldbach, DO» CatherinMe, Tite, MD * Eni Ros, PHD, SoM

Fromthe Division of Women’ Imaging, Department of Radiology, Temple University Hospital, 3401 N Broad St, Philadelphia, PA 19104 (A.R.G,); and Divisionof
Breast Radiology, Department of Radiology (C.M.T.) and Cancer Prevention and Control Research Program, Blosatitcs and Bloinformatis Faclty, Fox Chase

Cancer Center, Philadelphia, Pa (E.R), Received July 5, 2019; revision requested August 14; revision received November 29; accepted December 16, Address
correspondence to A.K,, (emai: aysagoapeom ed),

Confit of intrest ae listed (odio: omnis er it in ts eis, Ths es ur uport th ising ica ha ins
Seo ch eb by Be chai ser mins sa ty ik malay and can bc asi, Biya
Radiology 2020; 295:44-51 tesa,

0,1

Figure 6: Images ina 33-year-old woman no nuded in his

setes) with ductal carcinoma in stu The woman presented with
4 new palpable lump, Targeted US image shows a mass
composed of clustered cysts wih tick internal setatons,
findings tht are not characteristic of clustered microcyts and

are considered suspicious. Tis mammagraphicaly occult

palpable lesion underwent US-quided ore needle biopsy that
yielded severe ayplcal ductal hyperplasia, The final lagnass
afer excisional biopsy was ductal carcinoma stu,

Goldbach AR, Published Online: Ftnay 1, at

TABLE |; Differential Diagnosis of

Cystic Breast Lesions

Simple cyst œ œ
CDPB CAC TON THUONG DANG NANG CUAVU
thi uy

Galatocl Nang don gin
Nanchging bbocinaneg pnhic ap
Heaton
Bocsia
Fatnecrosis or dloyst
.
Masts breast abscess
Khou mau ty
Inraystc papilloma
Necrtaingneolasm Hoat tin hode nang dau

Vm bode ap xe vt
Buu nh trong nang

U tin sin boat ti

Tabled

Sania alii lon 1 comple ee nase,

alg sicwlkaortic Mie sialinmases Siihmeens
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NANG: Nang don gti, nang pit tp,

+ Nang bie ching king ng nang dm gin, ob bi inking hg kg

die,

NBC c6 ci sta tao me md dich NBC nhiem tring, mu dich-n
(i am ken tng
(oom kem ho dy)

NBC co tinh the cholesterol Want v4

Bay: du cinh ving focus vi guin deb 45, danan v2bin db tho di ih

hin dnb chinh vít Cimon hn du

+ Nang viking ud lun ing din su bi tng - kem-xa0 anh
LA min na. /
+ Khing phat koi hoi dm kém dong nhit| me

(cai

cé ing din sau den lt nang

Nir42 MR ino Koi bit hue dang

vn, Sie chin doin: nang tht dy
vib Ki bn tong nang (2), Choc hit)
chat ng miu ving du den ihc nang

lnh tah vi bc ih the cholestrol),

Khong cn thi bao,

Dich tong nang thudng gap co

mu Vang om dim hat kc

thu, ùn can thie bao

Soluong nang inching!

Xuat bien o2 vw?

Thi phan “tc” rong nng? > Doppler?

Mau ta dich trong nang?

+ Nang Phi Tap gm cb inh ti, kg din bin (auyc a}

vac tinh, Baa,

+ Lath cng op buh trong nang hay tong oa bo but oi tye (i),
Thuing gpk THAY BC 01 BOC bao gmbh tuyen adenosis bnh wen xo ba
(lrg adeno), chen sin inh (apocrine meals) vin Ong tye,

+ Bénh dc tinh hung ip: acini on cho (DC), ain tong ang, cain
dang nt vi cacindm ong tuyen xd Ln,

Man Chen Cystic breast sion by conventional ultrasonography; sonographic ubtype-pathologi

correlation and BI-RADS Assessment, Arch Med! Sci 2014; 10, 1: 76-83

NANG: Nag don gn, nang benching Nir, NA: khos trom im do cao/NA (A)

Nay Phi ap tin ning UH. (9.6) Siva chin don ti di

ahi tongnang (>), cho ht va nang bien
mt on on Tih sau 12 hing te

d(C) vi(D} (4) in thi cr ky

Nir kv pitnv,Lm)

Not CC: igi banc thy ah vi vi ha

thi (9).SAc hdc tong nang) va hh iy |

voi bo gc can (C) (9), ST: DCIS) tn thuong ab,

B mode: nang bch
Doppler: khdng phin

bi mach miu SADH

SVE ch< ikPa

nem, Chochit ng Se

bien ching [play

apocrine metaplasia

(PAM)

_ That
Missin sini
dan: an oni, bien ching, Ng
phic tp,ging
«Choi trngnm thik tt,
thing pin bo macmhu