乳腺微小病灶穿刺活检早期诊断乳腺癌的研究  

Breast biopsy small lesions early diagnosis of breast cancer research

作　　者：赵启明[1] 黄梅凤[1] 黄婷[1] 凌雪君 黄力营 

机构地区：[1]广西医科大学附属教学医院贺州市人民医院超声科,广西贺州542800

出　　处：《中国现代医学杂志》2014年第12期53-55,共3页China Journal of Modern Medicine

基　　金：广西贺州市科技创新项目(No:贺科能1101006Y)

摘　　要：目的在超声引导下乳腺微小病灶（0.6 cm≤直径≤1 cm）穿刺活组织病理学检查早期诊断良、恶性病灶。方法对100例超声或及X线钼靶检查发现乳腺微小病灶的女性患者,采用日本生产自动活检枪及16G活检针,在超声引导下穿刺乳腺微小病灶,取出组织2~4条,送病理学检查。结果穿刺病理学诊断为良性病变者85个,恶性者15个,证实为恶性者分别为1个和15个,敏感性为93.8%,特异性100%,诊断准确率99.0%。结论对超声或及钼靶X线检查发现的乳腺微小病灶,超声引导下乳腺粗针穿刺的病理学检查是可靠的诊断方法,可早期诊断乳腺癌,提高生存率,是一种理想诊断方法。【Objective】To investigate ultrasound-guided breast small lesions（0.6 cm≤diameter≤1 cm） puncture live histopathological examination for early diagnosis of benign and malignant lesions. 【Methods】100 patients with ultrasound or X-ray mammography found that female patients with breast small lesions, the Japanese production of automatic biopsy gun and 16G biopsy needle, ultrasound guided breast small lesions, remove organizational 2-4, to send the disease physical examination.【Results】Puncture pathological diagnosis of benign lesions, 85 malignant, 15, proved to be malignant, 1 and 15, respectively, a sensitivity of 93.8% and a specificity of 100% and diagnostic accuracy of 99.0%.【Conclusions】The tiny breast lesions found on ultrasound or mammography X-ray examination, ultrasound-guided breast core needle pathological examination is a reliable method of diagnosis, and early diagnosis of breast cancer and improve survival. Provide a basis for surgical planning, alternative intraoperative rapid biopsy, shorter operative time, improve the quality of operation, is an ideal diagnostic method.

关 键 词：乳腺微小病灶 超声引导 活检 早期诊断乳腺癌 

分 类 号：R737.9[医药卫生—肿瘤]