麦默通在乳腺微小包块诊治中的价值  

Application of Mammotome for Small Breast Lump: a Report of 318 Cases

作　　者：张朝锋[1] 刘兰[1] 侯林都[1] 夏秀林[1] 

机构地区：[1]陕西省宝鸡市妇幼保健院乳腺科,宝鸡721000

出　　处：《中国微创外科杂志》2014年第2期102-104,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的 探讨乳腺微小包块的治疗策略.方法 对2009年9月~2013年3月麦默通治疗的318例乳腺微小包块术前通过乳腺彩超、钼靶检查判断良恶性,然后进行麦默通手术治疗,观察诊断符合情况及乳腺癌发生率.结果 术后病理证实7例为乳腺癌（7/318,2.2%）.乳腺彩超诊断乳腺微小癌的阳性预测值66.7%（4/6）,漏诊率42.9%（3/7）;钼靶检查的阳性预测值75.0%（6/8）,漏诊率14.3%（1/7）;乳腺彩超联合钼靶检查的阳性预测值为100%（4/4）,漏诊率42.9%（3/7）.结论 彩超和钼靶检查对乳腺微小癌具有较高的漏诊率,应积极手术活检,以麦默通手术首选.Objective To explore the diagnosis and treatment strategy of small breast lump. Methods A total of 318 cases of small breast lump underwent mammotome surgery from September 2009 to March 2013. Uhrasonography and mammography were used to estimate whether the tumor was benign or malignant before operation. The coincidence rate and incidence of breast cancer after mammotome surgery were observed. Results Postoperative pathological examination confirmed breast cancer in 7 cases （2.2% , 7/318）. The positive predictive value of uhrasonography was 66.7% （4/6）, and the rate of missed diagnosis was 42.9% （3/7）, while the above-mentioned two indictors of mammography was 75.0% （6/8） and 14.3% （ 1/7）, respectively; the above- mentioned two indictors of ultrasonography combined with mammography was 100% （4/4） and 42.9% （3/7）. Conclusion Due to the high rate of missed diagnosis of uhrasonography and mammography for small breast lump, mammotome surgery can be the first choice for biopsy.

关 键 词：乳腺微小包块 麦默通 乳腺癌 

分 类 号：R737.9[医药卫生—肿瘤]