摘要
目的 探讨应用乳腺摄片结合立体定位系统 ,对不可触及的乳腺病变进行细针定位乳腺活检术的价值。方法 回顾性总结分析对 42例乳腺摄片发现不可触及的乳腺病变病人所实行的细针定位乳腺活检术。结果 42例病人中 ,发现早期乳腺癌 8例 (19% ) ,其中原位癌 2例 ,临床Ⅰ期 4例 ,临床Ⅱ期 2例 ,明显高于临床发现的乳腺癌。另外乳腺纤维瘤 17例 ,导管内乳头状瘤 4例 ,乳腺囊肿 2例 ,乳腺腺病 10例 ,不明原因钙化灶 1例。其中乳腺癌、纤维瘤、导管内乳头状瘤、乳腺囊肿均有明确手术指征 ,占 73 8%。结论 对不可触及乳腺病变应积极活检 ,而细针定位活检是首选有效的方法。
Objective\ To evaluate the value of needle localized biopsy in the treatment of nonpalpable breast lesion.Methods\ We analysed 42 cases of needle localized biopsies retrospectively.Results\ In 42 cases,there were 8 cases(19%)of early breast cancer of which 2 were carcinoma in situ,4 were in clinical stage Ⅰ,2 were in stage Ⅱ,which were clearly more than those clinically found.In other patients,pathological features showed 17 fibroadenoma,4 intraduct papilloma,2 breast cyst,10 mammary dysplasia and 1 calcification without particular reason.Carcinoma,fibroadenoma,intraductal papilloma,breast cyst all have strong indications for surgical management.Conclusion\ NPBL should be biopsied as soon as possible,and NLB is recommended first.
出处
《中国实用外科杂志》
CSCD
北大核心
2000年第5期281-282,共2页
Chinese Journal of Practical Surgery
