乳腺原发性淋巴瘤99Tcm-MIBI SPECT/CT显像一例

99Tcm-MIBI SPECT/CT imaging in primary breast lymphoma:a case report

患者女,49岁,因偶然发现右侧乳房无痛性肿块10余天就诊。体格检查:双侧乳腺对称,右乳外上象限可触及一大小约3 cm×3 cm的肿块,质韧,边界清,表面光滑,无压痛,与周围皮肤无粘连,皮肤表面无红肿,皮温不高,无橘皮样变,乳头无凹陷;左乳未及明显异常,双侧腋窝及双侧锁骨上区未触及肿大淋巴结。实验室检查(括号中为正常参考值范围):糖类抗原(carbohydrate antigen, CA)125为54.43(0~35)kU/L,CA15-3、CA19-9、癌胚抗原(carcinoembryonic antigen, CEA)均正常。超声检查示双侧乳腺散在片状低回声区,考虑乳腺病;右乳低回声团,乳腺影像报告和数据系统(breast imaging reporting and data system, BI-RADS)分级为Ⅳc级。