Imagerie de la Femme最新文献

{"title":"Issue Contents","authors":"","doi":"10.1016/S1776-9817(25)00015-X","DOIUrl":"10.1016/S1776-9817(25)00015-X","url":null,"abstract":"","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"35 1","pages":"Page e1"},"PeriodicalIF":0.2,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Embolisation de fibromes utérins","authors":"Ammar Alnuaimi,&nbsp;Alexis Valin-Doyon,&nbsp;Gilles Soulez,&nbsp;Éric Therasse,&nbsp;Pierre Perreault,&nbsp;Ali Abdallah,&nbsp;Ricardo Holderbaum Do Amaral,&nbsp;Louis Bouchard,&nbsp;Marie-France Giroux","doi":"10.1016/j.femme.2025.01.001","DOIUrl":"10.1016/j.femme.2025.01.001","url":null,"abstract":"<div><div>Les fibromes utérins sont les tumeurs bénignes les plus fréquentes de la région pelvienne chez la femme. Certaines d’entre elles nécessitent un traitement compte tenu leur symptomatologie. Plusieurs options sont disponibles et l’embolisation utérine est maintenant l’un des traitements de choix de ces tumeurs.</div></div><div><div>Uterine fibroids are the most common tumors of the female pelvis. Some of them necessitate treatment because of their symptoms. Several therapeutic options exist, and uterine embolization is now one of the favoured treatments of these tumors.</div></div>","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"35 1","pages":"Pages 1-5"},"PeriodicalIF":0.2,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hyperplasie stromale pseudo-angiomateuse du sein chez une adolescente : caractéristiques radiologiques","authors":"Radia Benyahia ,&nbsp;Imène El Hafaia ,&nbsp;Fadwa Hocine ,&nbsp;Sihem Rabahi ,&nbsp;Salah Edine Bendib","doi":"10.1016/j.femme.2025.03.001","DOIUrl":"10.1016/j.femme.2025.03.001","url":null,"abstract":"<div><div>L’hyperplasie pseudo-angiomateuse du stroma mammaire est une tumeur mammaire bénigne rare du sein, les caractéristiques clinique et radiologique ne sont pas spécifiques et posent le problème du diagnostic différentiel avec une tumeur bénigne ou maligne. Le diagnostic de certitude est anatomopathologique et immunohistochimique. Son aspect histologique est particulier avec la présence de fentes pseudo-vasculaires dans un stroma riche en collagène. Le traitement est en général soit chirurgical avec exérèse tumorale, soit une surveillance clinique et radiologique. Nous rapportant le cas d’une jeune adolescente de 12 ans avec une masse mammaire droite volumineuse évoquant un fibroadénome juvénile, ou une tumeur phyllode. Le but de ce travail était de soulever les difficultés des diagnostics cliniques, radiologiques et histologiques de cette entité.</div></div><div><div>Pseudoangiomatous breast stromal hyperplasia is a rare benign breast tumour. The clinical and radiological features are non-specific, raising the problem of differential diagnosis with a benign or malignant tumour. The diagnosis of certainty is anatomopathological and immunohistochemical. Its histological appearance is distinctive, with pseudo vascular clefts in a collagen-rich stroma. Treatment is usually either surgical with tumour excision, or clinical and radiological monitoring. We report the case of a 12-year-old adolescent girl with a large right breast mass that may be related to a juvenile fibroadenoma or a phyllodes tumour. The aim of this work was to raise the difficulties of clinical, radiological and histological diagnosis of this entity.</div></div>","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"35 1","pages":"Pages 51-56"},"PeriodicalIF":0.2,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Un lâcher de ballon pas très « sein » gulier","authors":"Aurore Vidaud ,&nbsp;Léa Manse-Giacomoni","doi":"10.1016/j.femme.2024.11.004","DOIUrl":"10.1016/j.femme.2024.11.004","url":null,"abstract":"<div><div>Ce rapport de cas décrit la découverte de nombreuses masses mammaires gauches chez une patiente suivie pour un antécédent de carcinome mammaire droit. Ces masses sont peu suspectes en imagerie, mais devant le caractère nouvellement apparu, elles ont été prélevées. Il s’agissait en fait de métastases de mélanome.</div></div><div><div>This case report describes the discovery of multiple left breast masses in a patient with a history of right breast carcinoma. These masses appeared with a low suspicious aspect on imaging, but due to their recent appearance, biopsies were performed. They were ultimately identified as melanoma metastases.</div></div>","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"35 1","pages":"Pages 47-50"},"PeriodicalIF":0.2,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Une ecchymose (qui) dure","authors":"Sébastien Molière","doi":"10.1016/j.femme.2024.10.002","DOIUrl":"10.1016/j.femme.2024.10.002","url":null,"abstract":"<div><div>Les angiosarcomes mammaires sont des tumeurs rares dont la présentation clinique est trompeuse. La corrélation anatomoradiologique d’un cas d’angiosarcome radio-induit, prenant la forme d’un hématome spontané d’aggravation progressive, est illustrée dans cet article.</div></div><div><div>Mammary angiosarcomas are rare tumours with often misleading clinical presentations. This case describes a radiation-induced angiosarcoma manifesting as a spontaneously progressing haematoma, highlighting the anatomic radiological correlation of the tumour.</div></div>","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"35 1","pages":"Pages 43-46"},"PeriodicalIF":0.2,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prise en charge des lésions mammaires à risque : rappels et mise à jour selon les recommandations européennes de 2024","authors":"Constance Rivière ,&nbsp;Aurélie Jalaguier-Coudray ,&nbsp;Estelle Pipon-Habert ,&nbsp;Florian Pesce ,&nbsp;Antonia Boisselier","doi":"10.1016/j.femme.2024.11.003","DOIUrl":"10.1016/j.femme.2024.11.003","url":null,"abstract":"<div><div>Les lésions mammaires frontières sont un groupe hétérogène de lésions de potentiel malin incertain avec un risque de sous-estimation de cancer et de cancer ultérieur. À la suite d’une conférence de consensus internationale, il a été publié en 2023 des recommandations européennes de prise en charge et de surveillance selon le sous-type histologique, la taille de la lésion, la concordance radiohistologique et les facteurs de risque. Pour les hyperplasies canalaires atypiques, les tumeurs phyllodes, les papillomes et les cicatrices radiaires avec atypies, une exérèse chirurgicale est le plus souvent recommandée. Pour la métaplasie cylindrique atypique, l’hyperplasie lobulaire atypique, les papillomes et les cicatrices radiaires sans atypie, une macrobiopsie–exérèse ou une surveillance en cas de disparition du signal radiologique après les prélèvements sera discutée. Les lésions frontières nécessitent une surveillance rapprochée. Ces recommandations ont harmonisé les pratiques.</div></div><div><div>Borderline breast lesions are a group of lesions with uncertain malignant potential, associated with a risk of underestimation of cancer and subsequent cancer development. After an international consensus conference, European guidelines were published in 2023, based on histological subtype, lesion size, radiohistological concordance and risk factors. For atypical ductal hyperplasia, phyllodes tumours, papillomas and radial scars with atypia, surgical excision is most often recommended. For atypical cylindrical metaplasia, atypical lobular hyperplasia, papillomas and radial scars without atypia, excisional macrobiopsy or surveillance (if radiological findings resolve) will be discussed. Borderline lesions require close surveillance. These guidelines have standardized clinical practices.</div></div>","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"35 1","pages":"Pages 26-39"},"PeriodicalIF":0.2,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Un lipome volumineux remanié du sein chez un homme simulant un liposarcome","authors":"Jean-Paul Stephen Kouao ,&nbsp;Raissa-Michelle Kabas ,&nbsp;Mamonma Meite ,&nbsp;Dominique Isart ,&nbsp;Bruno Ntamon ,&nbsp;Grigore Simionca ,&nbsp;Étienne Roussel ,&nbsp;Alain Zinzindohoue","doi":"10.1016/j.femme.2024.11.002","DOIUrl":"10.1016/j.femme.2024.11.002","url":null,"abstract":"<div><div>Le lipome mammaire est une tumeur adipeuse qui occupe la deuxième place des tumeurs bénignes du sein chez l’homme après la gynécomastie par ordre de fréquence. Le diagnostic est assez aisé à l’imagerie (mammographie et échographie) pour le lipome typique. Cependant, les formes atypiques peuvent poser un problème de diagnostic différentiel avec les liposarcomes. Les auteurs rapportent un cas rare de lipome atypique du sein chez un patient âgé de 67 ans, qui avait des caractéristiques d’imagerie sénologique proches d’une tumeur maligne. Il s’agissait d’une masse majoritairement graisseuse, hétérogène avec une composante tissulaire dans sa partie centrale sur les clichés de mammographie et présentant un pédicule vasculaire à l’échographie Doppler. L’IRM mammaire complémentaire montrait une masse adipeuse très inflammatoire avec un rehaussement intense après l’injection de gadolinium. L’étude anatomopathologique de la pièce opératoire évoquait un liposarcome bien différencié « lipoma-like » comme première hypothèse. Une relecture des lames avec un complément d’immunohistochimie par d’autres techniques et une étude moléculaire fut nécessaire pour retenir le diagnostic de lipome remanié.</div></div><div><div>Mammary lipoma is a fatty tumour that is the second most common benign tumour in male breast tissue, after gynecomastia. Typical lipomas can be easily diagnosed using mammography and ultrasound imaging. However, atypical lipomas can be challenging to distinguish from liposarcomas. In this article we describe a rare case of atypical lipoma of the breast in a 67-year-old patient. The tumour exhibited imaging features similar to those of a malignant tumour, appearing as a predominantly heterogeneous fatty mass with a tissue component in the central part on mammography images and showing a vascular pedicle on Doppler ultrasound. Additional breast MRI revealed an inflamed fatty mass with intense enhancement after gadolinium injection. The pathological analysis suggested a well-differentiated “lipoma-like” liposarcoma as the primary hypothesis. However, a re-evaluation of the slides, additional immunohistochemistry using other techniques, and a molecular study were necessary to confirm the diagnosis of a benign lipoma.</div></div>","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"35 1","pages":"Pages 57-62"},"PeriodicalIF":0.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Un fibroadénome, vraiment ?","authors":"Sébastien Molière","doi":"10.1016/j.femme.2024.10.001","DOIUrl":"10.1016/j.femme.2024.10.001","url":null,"abstract":"<div><div>Les tumeurs phyllodes sont des tumeurs fibroépithéliales rares du sein, qui peuvent êtres bénignes, <em>borderline</em> ou malignes. Une corrélation radioanatomique d’un cas de tumeur phyllode bénigne est présentée ici, ainsi que des éléments de diagnostic différentiel.</div></div><div><div>Phyllodes tumours are rare fibroepithelial breast tumours that can be benign, borderline, or malignant. A radioanatomical correlation of a benign phyllodes tumour case is presented here, along with key elements of differential diagnosis.</div></div>","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"35 1","pages":"Pages 40-42"},"PeriodicalIF":0.2,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Embolisation pelvienne en gynécologie : un recours fréquent dans des situations pathologiques très variées","authors":"Rémi Agbonon ,&nbsp;Matthias Barral ,&nbsp;Asma Bekhouche ,&nbsp;Milan Najdawi ,&nbsp;Léo Razakamanantsoa ,&nbsp;Raphaël Di Giuseppe ,&nbsp;Marie Florin ,&nbsp;Raphaël Lehrer ,&nbsp;Isabelle Thomassin-Naggara","doi":"10.1016/j.femme.2024.11.001","DOIUrl":"10.1016/j.femme.2024.11.001","url":null,"abstract":"<div><div>La série de cas présentés dans cet article illustre la grande variété de pathologies prises en charge par embolisation pelvienne. Des cas d’embolisations artérielles pour des myomes, pour des anomalies artérioveineuses d’origines diverses ainsi que d’embolisation veineuse pour des syndromes de congestion pelvienne, montrent bien la nécessité pour les radiologues interventionnels d’une bonne connaissance de l’imagerie pelvienne diagnostique afin d’optimiser la technique d’embolisation.</div></div><div><div>The series of clinical cases presented in this article demonstrate the great variety of pathologies meeting the need for pelvic embolization. Some arterial embolizations for fibroids, arterioveinous lesions of diverse etiologies and veinous embolization for chronic pelvic veinous disorder illustrate the need for interventional radiologists to have a thorough knowledge of pelvic diagnostic imaging in order to optimize the embolization technique.</div></div>","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"35 1","pages":"Pages 6-25"},"PeriodicalIF":0.2,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Issue Contents","authors":"","doi":"10.1016/S1776-9817(24)00088-9","DOIUrl":"10.1016/S1776-9817(24)00088-9","url":null,"abstract":"","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"34 4","pages":"Page e1"},"PeriodicalIF":0.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142719871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}