麦默通在乳腺导管内乳头状瘤诊治中的应用  

Mammotome biopsy system for diagnosis and minimally invasive excision of intraductal papilloma

作　　者：王宏[1] 陈伟荣[1] 周婕[2] 

机构地区：[1]珠海市妇幼保健院乳腺外科,广东珠海519001 [2]广州医科大学附属肿瘤医院乳腺肿瘤外科,广州510095

出　　处：《岭南现代临床外科》2013年第3期236-239,共4页Lingnan Modern Clinics in Surgery

基　　金：广州市医药卫生科技项目(编号:2012A013010005)

摘　　要：目的探讨麦默通旋切系统切除无乳头溢液的乳腺导管内乳头状瘤的应用价值。方法 B超发现囊实性乳腺肿块的12名女性患者,无乳头溢液,用麦默通进行微创旋切后,将肿块标本均送病理科检查,用B超随访了中位时间17个月(随访时间为10～41个月)。结果所有的肿块均被完全准确的切除。所有的患者均被病理证实为乳腺导管内乳头状瘤,术后美容效果好,手术区域无明显临床血肿形成,无术后并发症发生。结论 B超引导的麦默通微创旋切系统能对乳腺囊实性肿物进行准确的切除。对于无乳头溢液的乳腺导管内乳头状瘤,B超引导麦默通微创旋切系统进行切除的手术方法有效可行的。Objective To investigate the value of Mammotome system in the treatment of intraductal papilloma without nipple discharge..Methods Twelve women with breast cystic-solid lesions without nipple discharge underwent B-US-guided 8-gauge Mammotome biopsy. Interval US surveillance was performed at a median time of 17 months （range 10-41 months）..Results All tumors were removed accurately with satisfactory cosmetic outcomes. .All of them were histologically diagnosed as intraductal papilloma..No clinically significant complications occurred. Conclusions The US-guided Mammotome biopsy provides an accurate pathologic diagnosis and successful complete excision of cystic-solid breast tumors..It appears to be an effective treatment in intraductal papilloma patients without nipple discharge.

关 键 词：麦默通 导管内乳头状瘤 微创 囊实性肿物 

分 类 号：R737.9[医药卫生—肿瘤]