X线立体定位活检对乳腺微小病变的诊断价值  

Diagnostic Value of Stereotactic Needle Biopsy for Non-palpable Minute Breast Lesions

作　　者：龚柳燕 

机构地区：[1]桂林市中医院放射科,广西541002

出　　处：《放射学实践》2006年第9期956-958,共3页Radiologic Practice

摘　　要：目的:探讨乳腺摄片结合立体定位穿刺活检对临床触诊阴性的乳腺微小病变的诊断价值。方法:回顾性分析80例临床触诊阴性而乳腺摄片发现微小病变并进行立体定位穿刺活检患者的病例资料。结果:80例中乳腺癌30例(37.5%),原位癌8例、临床Ⅰ期22例,不典型增生10例;良性病变40例,包括纤维腺病10例,纤维瘤8例,乳腺增生病伴显微囊肿8例,乳腺增生病伴部分纤维腺瘤变10例,导管内乳头状瘤3例,错构瘤1例。结论:对临床触诊阴性的乳腺微小病变应积极活检,X线立体定位活检术是提高早期乳腺癌检出率的有效方法。Objective：To discuss the diagnostic value of stereotactic needle biopsy for non-palpable minute breast lesions. Methods：Stereotactic needle biopsy was performed in 80 cases with non-palpable minute breast lesions revealed on mammography, the results were analyzed retrospectively. Results： Of the 80 cases, the pathologic diagnosis was breast cancer （n=30）,in which,8 were carcinoma in situ,22 were clinical stage I breast carcinoma. Besides there were fibroadenoma （n =8）,atypical hyperplasia （n=10）,adenosis （n= 10）,hyperplasia with microcystic change （n 8）,hyperplasia with partly adenomatous change （ n = 10）, intraductal papilloma （ n=3） and hamartoma （ n= 1 ）, Conclusion,. Stereotactic needle biopsy is helpful in the diagnosis of clinically non-palpable minute breast lesion. The detectability of early breast cancer can be improved.

关 键 词：乳腺X线摄影术 活组织检查 针吸 乳腺疾病 

分 类 号：R814.42[医药卫生—影像医学与核医学]