超声引导下麦默通旋切活检术对乳腺癌诊断价值的临床研究  

Clinical study on the value of ultrasound-guided Mammotome gland minimally invasive rotary cutting biopsy in diagnosis of breast cancer

作　　者：杨波[1] 唐诗[1] 曾鸿[2] 袁月欢[1] 吴玲[1] 陈媛媛[1] 温珮琦 邓杰华[1] 

机构地区：[1]东莞市妇幼保健院乳腺科,广东东莞523000 [2]东莞市妇幼保健院病理科,广东东莞523000

出　　处：《中国妇幼保健》2018年第4期929-931,共3页Maternal and Child Health Care of China

摘　　要：目的探讨超声引导下麦默通旋切活检术对乳腺癌诊断的安全性和可靠性,以及能否取代乳腺癌根治性手术提供依据。方法回顾性分析23例31个癌性病灶通过超声引导下麦默通旋切活检术诊断为乳腺癌患者的临床资料。结果 23例31个病灶中浸润性导管癌19个(61.29%),浸润性导管癌合并导管内乳头状癌2个(6.45%),浸润性小叶癌1个(3.23%),导管原位癌6个(19.35%),导管原位癌伴微浸润2个(6.45%),黏液癌1个(3.23%),无假阴性和假阳性出现,诊断准确率达到100.00%。10个病灶(32.26%)残腔内有癌残留。随访3~66个月,所有患者无复发和转移。结论超声引导下麦默通旋切活检术诊断乳腺癌是安全和可靠的活检方法之一。因活检后有癌残留的可能,所以不能取代乳腺癌根治性手术。Objective To explore the safety and reliability of ultrasound-guided Mammotome gland minimally invasive rotary cutting biopsy in diagnosis of breast cancer,provide a basis for researching replacement of radical mastectomy. Methods The clinical data of31 cancerous lesions in 23 patients diagnosed as breast cancer by ultrasound-guided Mammotome gland minimally invasive rotary cutting biopsy was analyzed retrospectively. Results Among 31 lesions,19 lesions（ 61. 29%） with invasive ductal carcinoma,2 lesions（ 6. 45%）with invasive ductal carcinoma combined with intraductal papillary carcinoma,1 lesion（ 3. 23%） with invasive lobular carcinoma,6 lesions（ 19. 35%） with ductal carcinoma in situ,2 lesions（ 6. 45%） with ductal carcinoma in situ combined with micro-infiltration,and 1 lesion（ 3. 23%） with mucous carcinoma were included. No false negative and false positive result occurred. The accurate rate of diagnosis was100. 00%. Cancer residual was found in 10 lesions（ 32. 26%）. All the cases were followed up for 3-66 months. No recurrence and metastasis occurred. Conclusion Ultrasound-guided Mammotome gland minimally invasive rotary cutting biopsy is a safe and reliable method for diagnosis of breast cancer,but it cannot replace radical mastectomy because of the possibility of cancer residual.

关 键 词：乳腺肿瘤 乳房切除术 麦默通 

分 类 号：R445.1[医药卫生—影像医学与核医学]