超声引导乳腺微创旋切术在乳腺癌筛查中的价值  

The value of ultrasound guided minimally invasive breast biopsy in excision breast cancer

作　　者：吴晗蓉 刘三英[1] Wu Hanrong;Liu Sanying(Medical Department of Three Gorges University,Hubei Yichang 443000,China;Ultrasound Department of Changyang County Maternal and Child Health Hospital,Hubei Changyang 443500,China)

机构地区：[1]三峡大学医学部,湖北宜昌443000 [2]宜昌市长阳县妇幼保健院超声科,湖北宜昌443500

出　　处：《临床普外科电子杂志》2025年第1期42-45,共4页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的探讨超声引导下乳腺微创旋切术在筛查乳腺癌中的价值。方法回顾性分析2021年10月至2023年6月在长阳县妇幼保健院接受乳腺旋切手术238例患者的临床资料。总结接受超声引导下乳腺微创旋切术患者的占比结果。结果238例接受乳腺旋切手术患者中,225例(94.54%)被诊断为良性病变,其中乳腺腺病伴腺瘤形成(含乳腺腺病)146例(61.34%),腺纤维瘤68例(28.57%),导管内乳头状瘤5例(2.10%),其他良性病变(活跃上皮增生、伴或不伴不典型增生)6例(2.52%);9例(3.78%)被诊断为恶性病变,其中导管原位癌1例(0.42%),浸润性导管癌8例(3.36%);交界性叶状肿瘤2例(0.84%);癌前病变(导管上皮不典型增生)2例(0.84%)。BI-RADS 3类结节有152例,其中3例被诊断为乳腺癌,恶性率为1.97%;BI-RADS 4a类结节有72例,其中6例为乳腺癌,恶性率为8.33%;而BI-RADS 2类结节有14例,未发现乳腺癌病例。结论超声引导的乳腺微创旋切手术因其精确的定位、微创伤和安全性,在诊断乳腺良性病变和乳腺癌方面作为活检手段具有显著优势,特别适合那些BI-RADS分类为3类和4a类且伴有乳腺癌高风险因素的患者,尤其是那些不适合定期观察的情况。Objective To investigate the value of ultrasound guided minimally invasive rotary mastectomy in screening breast cancer.Method A retrospective analysis was conducted on the clinical data of 238 patients who underwent breast rotational resection surgery at Changyang County Maternal and Child Health Hospital from October 2021 to June 2023.Summarize the proportion of patients undergoing ultrasound-guided minimally invasive rotational mastectomy.Result Among the 238 patients who underwent breast rotational resection surgery,225(94.54%)were diagnosed with benign lesions,including 146 cases(61.34%)of breast adenosis with adenoma formation(including breast adenosis),68 cases(28.57%)of adenofi broma,5 cases(2.10%)of intraductal papilloma,and 6 cases(2.52%)of other benign lesions(active epithelial hyperplasia,with or without atypical hyperplasia);Nine cases(3.78%)were diagnosed with malignant lesions,including one case(0.42%)of ductal carcinoma in situ and eight cases(3.36%)of invasive ductal carcinoma;Two cases(0.84%)of borderline lobular tumors;2 cases(0.84%)of precancerous lesions(atypical hyperplasia of ductal epithelium).152 cases of BI-RADS type 3 nodules,3 of which were diagnosed as breast cancer,with a malignant rate of 1.97%;There were 72 cases of BI-RADS 4a nodules,6 of which were breast cancer,with a malignant rate of 8.33%;There were 14 cases of BI-RADS type 2 nodules,and no case of breast cancer was found.Conclusion Ultrasound guided minimally invasive rotary mastectomy has significant advantages as a biopsy method in the diagnosis of benign breast lesions and breast cancer due to its precise positioning,minimally invasive and safety,especially for those patients with BI-RADS classifi cation of grade 3 and 4a and high risk factors of breast cancer,especially those who are not suitable for regular observation.

关 键 词：超声引导 乳腺旋切术 乳腺癌 

分 类 号：R737.9[医药卫生—肿瘤]