X线立体定位真空辅助活检术在乳腺导管不典型增生诊断中的作用  

Stereotactic Vaccum-assisted Breast Biopsy to Diagnosing Breast Atypical Ductal Hyperplasia

作　　者：石剑[1] 魏建南[1] 张文夏[1] 李欢[1] 林小颜[1] 

机构地区：[1]南方医科大学附属深圳妇幼保健院乳腺外科,广东深圳518028

出　　处：《肿瘤基础与临床》2015年第5期431-433,共3页journal of basic and clinical oncology

基　　金：深圳市科技计划项目(编号:200703268)

摘　　要：目的探讨乳腺X线立体定位真空辅助活检术(SVAB)在乳腺导管上皮不典型增生(ADH)诊断中的应用价值。方法 278例临床不可触及且超声检查阴性的乳腺微小钙化行SVAB。结果 SVAB活检成功率为99.3%(276/278),276例乳腺微小钙化中,乳腺ADH共27例,占活检总数的9.8%(27/276),其中轻度ADH 18例、中度ADH 4例、重度ADH 5例。未发现组织学低估。结论 SVAB诊断ADH未见组织学低估,且不需要全部进一步手术切检,有较高的临床应用价值。Objective To evaluate the diagnostic value of stereotactic vaccum-assisted breast biopsy（ SVAB）on breast atypical ductal hyperplasia（ ADH）. Methods SVAB with 10-gauge vacuum devices was performed for the 278 patients with non-palpable microcalcification lesions detected by mammography only. Results The biopsy suc-cessful rate was 99. 3%（276/278）. Of the 276 patients,27 patients with ADH accounting for 9. 8%（27/276）of total biopsy numbers,included 18 patients with mild ADH,4 patients with midrange ADH and 5 patients with severe ADH. The histological underestimation rates to carcinoma was 0. 0%. Conclusion The histological underestimation rate of SVAB is 0. 0% and it is not necessary for all the ADH to surgical excision.

关 键 词：X线立体定位真空辅助活检术 乳腺导管不典型增生 组织学低估 

分 类 号：R737.9[医药卫生—肿瘤] R730.4[医药卫生—临床医学]