术前三维导丝定位对乳腺不可触及病变的诊断价值  

The valuation of preoperative 3D wire guide positioning to breast nonpalpable lesions

作　　者：陈雯[1] 于代友[1] 刘秀梅[1] 刘红娟[1] 吴月清[1] 

机构地区：[1]河北省沧州中西医结合医院放射科,河北沧州061000

出　　处：《医学影像学杂志》2013年第4期527-531,共5页Journal of Medical Imaging

摘　　要：目的探讨术前三维导丝定位技术对临床不可触及病变的诊断价值。方法 87例经乳腺X线检查发现的临床不可触及的可疑病变,采用术前三维导丝立体定位,留置导丝于病变区,引导外科手术进行切除活检,术后行病理学检查。结果经三维导丝立体定位术后病变切除率为100%。87例病例中,恶性病例8例,其中浸润性导管癌2例,导管原位癌6例;良性病变79例,其中包括癌前病变14例(不典型增生9例,导管内乳头状瘤4例,放射状瘢痕1例)。结论乳腺三维导丝定位术定位准确,较精确的确定乳腺不可触及病变的部位,利于活检,可有效提高早期乳腺癌的诊断率。Objective To investigate the diagnostic value of preoperative 3D wire guide positioning technology to clinical nonpalpable lesions. Methods 87 cases, which were found breast clinial nonpalpable suspicious lesions by X-ray examina- tion, were used the preoperative 3D guide wire in lesion to guide the surgery to excise biopsy, then underwent postopera- tive pathological examination. Results The rate of biopsy excision using 3D guide wire postioning was 100%. In 87 cases, 9 cases were malignant, including 2 cases with invasive ductal carcinoma and 6 cases with ductal carcinoma in situ. 79 ca- ses were benign, including 14 cases with precancerous lesions, 9 cases with atypical hyperplasia and 4 cases with intraducal papilloma. Conclusion Breast nonpalpable lesions can be accurately assessed the benign and malignant using Breast 3D guide wire positioning intraoperative positioning. This technology can effectively improve the diagnostic rate of early breast cancer and has a good diagnostic value in breast nonpalpable lesions.

关 键 词：乳腺癌 乳腺X线摄影 导丝定位 不可触及乳腺病变 

分 类 号：R737.9[医药卫生—肿瘤] R815[医药卫生—临床医学]