X线立体定位活检诊断乳腺微小病变  

Stereotactic core needle biopsy for diagnosis of mammographic minimal lesions

作　　者：葛玲玉[1] 黄强[1] 刘小蕉[1] 林冰影[1] 许顺良[1] 肖文波[1] 顾亚萍[1] 

机构地区：[1]浙江大学医学院附属第一医院,浙江杭州310003

出　　处：《浙江大学学报（医学版）》2006年第5期551-554,共4页Journal of Zhejiang University(Medical Sciences)

基　　金：浙江省医学卫生科学研究基金(2003A040)

摘　　要：目的:评价X线立体定位活检对乳腺微小病变的诊断价值。方法:采用计算机辅助三维立体定位系统、弹射式活检枪和16G活检针,对31例X线发现的乳腺可疑病变灶直接立体定位穿刺活检。其中24例随后行外科手术,穿刺活检与手术活检的病理结果对照。结果:24例中乳腺癌8例(33.3%),良性病变16例(66.7%),诊断符合率为87.5%,误诊3例(12.5%)。结论:X线立体定位活检是鉴别乳腺微小病变良恶性的有效方法,有助于早期发现乳腺癌。Objective： To assess the value of X-Ray stereotactic core needle biopsy （SCNB） in diagnosis of mammographic minimal lesions. Methods： Thirty-one cases with suspicious malignant lesions detected by mammography underwent breast biopsy using computer-assisted stereotactic system with spring-loaded biopsy guns and 16G core needles. All specimens underwent histopathologic examination. Surgical operations were performed in 24 cases after SCNB, and pathological findings of SCNB specimens were compared with those of surgical biopsy. Results： Among 24 cases with surgical excision, 8 cases （33. 3%） were confirmed as breast carcinoma,and the other 16 cases （66.7%） was benign breast lesions. The consistence rate of diagnosis with two methods was 87. 5%. Conclusion： As a safe and effective diagnostic method,SCNB is preferred approach to differentiate between malignant and benign diseases of minimal breast lesions before surgery.

关 键 词：乳腺疾病/病理学 活组织检查 针吸/方法 乳房X线摄影术/方法 立体定位技术 乳腺肿瘤/病理学 

分 类 号：R814.42[医药卫生—影像医学与核医学]