Achados ultrassonográficos das alterações fisiológicas e doenças mamárias mais frequentes durante a gravidez e lactação * Ultrasound findings of the physiological changes and most common breast diseases during pregnancy and lactation

O diagnóstico ultrassonográfico das mamas durante a gravidez e lactação representa um desafio para o médico, em função das alterações fisiológicas próprias destes períodos. Para tanto, é essencial uma compreensão das imagens, da anatomia e da fisiologia mamárias para diagnosticar mais eficazmente doenças concomitantes. O presente artigo teve como objetivo fazer uma revisão das alterações fisiológicas que ocorrem nas mamas durante a gravidez e lactação, bem como relatar as principais características ultrassonográficas das doenças mamárias mais frequentes nestes períodos. Unitermos: Gestação; Lactação; Mama; Ultrassonografia. Because of the physiological changes that occur during pregnancy and lactation, diagnostic ultrasound of the breast during these periods is a challenge for physicians. Therefore, a comprehensive understanding of imaging, anatomy, and physiology of the breast is important to effectively diagnosing diseases that can arise in women who are pregnancy or lactating. The aim of this article was to review the physiological changes that occur in the breasts during pregnancy and lactation, as well as to describe the main features of the breast diseases that occur most frequently during these periods.

[1]  P. Slanetz,et al.  Breast disease in the pregnant and lactating patient: radiological-pathological correlation , 2013, Insights into Imaging.

[2]  Jeong Eon Lee,et al.  Experience of treatment of patients with granulomatous lobular mastitis , 2013, Journal of the Korean Surgical Society.

[3]  Ji Hoon Yu,et al.  Breast diseases during pregnancy and lactation , 2013, Obstetrics & gynecology science.

[4]  L. Philpotts,et al.  Breast imaging of the pregnant and lactating patient: physiologic changes and common benign entities. , 2013, AJR. American journal of roentgenology.

[5]  L. Philpotts,et al.  Breast imaging of the pregnant and lactating patient: imaging modalities and pregnancy-associated breast cancer. , 2013, AJR. American journal of roentgenology.

[6]  C. Kuzmiak,et al.  The Management of Breast Symptoms in the Pregnant and Lactating Patient , 2013, Current Obstetrics and Gynecology Reports.

[7]  C. Robertson Blood flow characteristics of the human lactating breast , 2012 .

[8]  G. S. Mitchell,et al.  A radiologic review of common breast disorders in pregnancy and the perinatal period. , 2012, Seminars in ultrasound, CT, and MR.

[9]  E. Wylie,et al.  Reducing delay in the diagnosis of pregnancy‐associated breast cancer: How imaging can help us , 2011, Journal of medical imaging and radiation oncology.

[10]  A. Paula,et al.  Mastite granulomatosa lobular idiopática: relato de caso Idiopathic lobular granulomatous mastitis: case report , 2011 .

[11]  L. Kvist,et al.  International Breastfeeding Journal the Role of Bacteria in Lactational Mastitis and Some Considerations of the Use of Antibiotic Treatment , 2008 .

[12]  D. Geddes,et al.  Inside the lactating breast: the latest anatomy research. , 2007, Journal of midwifery & women's health.

[13]  E. Lerma,et al.  Radiologic evaluation of breast disorders related to pregnancy and lactation. , 2007, Radiographics : a review publication of the Radiological Society of North America, Inc.

[14]  김은경,et al.  Pregnancy-associated breast disease: Radiologic features and diagnostic dilemmas , 2006 .

[15]  S. Schmidt,et al.  Rationale for a diagnostic chain in gestational breast tumor diagnosis , 2006, Archives of Gynecology and Obstetrics.

[16]  J C Kent,et al.  Anatomy of the lactating human breast redefined with ultrasound imaging , 2005, Journal of anatomy.

[17]  A. Sağlam,et al.  Coexistence of lactating adenoma and invasive ductal adenocarcinoma of the breast in a pregnant woman , 2004, Journal of Clinical Pathology.

[18]  M. Nyman,et al.  Breast abscess in lactating women: US-guided treatment. , 2004, Radiology.

[19]  M. Boisserie-Lacroix,et al.  La femme enceinte : difficultés diagnostiques , 2004 .

[20]  C. Prosser,et al.  Mammary blood flow does not limit milk yield in lactating goats. , 2003, Journal of dairy science.

[21]  D. Marchant Inflammation of the breast. , 2002, Obstetrics and gynecology clinics of North America.

[22]  K. Hunt,et al.  Lactating Adenoma: A Diagnosis of Exclusion , 2001, The breast journal.

[23]  M. Neville,et al.  Anatomy and physiology of lactation. , 2001, Pediatric clinics of North America.

[24]  R. Brem,et al.  Infarcted lactating adenoma presenting as a rapidly enlarging breast mass. , 1999, AJR. American journal of roentgenology.

[25]  W. Moon,et al.  Granulomatous mastitis: mammographic and sonographic appearances. , 1999, AJR. American journal of roentgenology.

[26]  E. S. de Paredes,et al.  Imaging and Management of Breast Masses During Pregnancy and Lactation , 1999, The breast journal.

[27]  D. Adler,et al.  Mammographic appearance of the breasts during pregnancy and lactation: false assumptions. , 1998, Academic radiology.

[28]  J. Sumkin,et al.  Lactating adenoma: US features and literature review. , 1998, Radiology.

[29]  W. Svensson,et al.  A review of the current status of breast ultrasound , 1997 .

[30]  R. Sherlock,et al.  Mammary epithelial cell tight junction integrity and mammary blood flow during an extended milking interval in goats. , 1994, Journal of dairy science.

[31]  S. Khattar,et al.  Acute puerperal breast abscesses: US-guided drainage. , 1993, Radiology.

[32]  J. Wesche,et al.  Doppler Measurements Of Changes In Human Mammary And Uterine Blood Flow During Pregnancy And Lactation , 1988, Acta obstetricia et gynecologica Scandinavica.

[33]  Helmuth Vorherr,et al.  The Breast: Morphology, Physiology, and Lactation , 1974 .