超声引导下Mammotome旋切系统在诊断临床不可触及乳腺病灶应用研究  

Ultrasound-guided mammotome vacuum biopsy for diagnosis of impalpable breast tumor

作　　者：廖宁[1] 付月珍[1] 李学瑞[1] 严金凤[1] 吴一龙[1] 

机构地区：[1]广东省人民医院肿瘤中心乳腺科,广州510080

出　　处：《实用肿瘤学杂志》2005年第4期254-256,共3页Practical Oncology Journal

摘　　要：目的探讨超声引导下应用Mammotome旋切系统,在临床不可触及乳腺病灶的诊断应用价值。方法2004年6月～2004年9月,采用11G自动活检刀头对123例265处<15mm临床不可触及的乳腺病灶进行B超引导下Mammotome微创旋切术,评价其对临床不可触及乳腺病灶的诊断效果。结果265个乳腺病灶大小3mm～15mm(平均9.1mm),均被Mammotome微创旋切切除。结果术后病理诊断阳性31个病灶(包括不典型增生ADH,原位癌DCIS,LCIS,浸润癌)。234个病灶为良性病变。术后B超随防3个月～6个月,未发现乳腺残留病灶。结论应用B超引导下Mammotome旋切系统对临床不可触及乳腺病灶可进行完整切除并获得明确病理组织学诊断,若为良性可获得理想美容学效果,若为恶性可使患者获得早期治疗,提高生存期。Objetctive Evaluation of value for ultrasoundguided hand - held mammotome biopsy in impalpable breast leision. Methods To achieve breast diagnosis, 265 ultrasound guided hand - held mammotome- biopsies were performed between June and September, 2004. Results Histological probe sample examination was positive in 31 leisions and negaive in 234 leisions. Of the 31 positive leisions, 4 were infiltrating carcinomas, 3 ductal carcinomas in situ, and 24 atypical hyperplasia. 7 malignant cases underwent surgery. The post -sugical histological examination confirmed all diagnoses with mammotome biopsy. Conclusion Our data confirm the value of sonography for the diagnosis of breast carcinoma in the preclinical phase and the efficacy of ultrasound sampling using a mammotome device to confirm the diagnosis in impalable breast lesions.

关 键 词：B超引导 MAMMOTOME 临床不可触及乳腺病灶 MAMMOTOME微创旋切术 乳腺病灶 不可触及 超声引导下 诊断应用 临床 系统 

分 类 号：R655.8[医药卫生—外科学]