不能触及肿块的乳腺肿瘤钼靶摄影导丝定位活检

Mo-target mammography-guided wire-localized biopsy for nonpalpable breast lesions

目的:探讨钼靶摄影导丝定位手术活检在临床不能触及肿块的乳腺病变中的价值及可行性。方法:收集2008年3月～2010年3月延边大学附属医院乳腺外科收治56例女性病人,对钼靶摄影发现的57个临床不能触及的乳腺病灶行导丝定位手术活检及病理检查。结果:57个病灶均一次定位成功,发现乳腺癌17例,占30.4%,轻～中度导管或小叶上皮非典型增生14例,占25.0%。结论:应谨慎处理临床触诊阴性但钼靶摄影异常的乳腺病灶;钼靶摄影导丝定位活检可以发现容易漏诊的早期乳腺癌及癌前病变;该方法简便、准确,值得推广。

Objective： To explore he value and feasibility of Mo - target mammography - guided wire - localized biopsy for nonpalpable breast lesions in clinic. Methods ： A total of 56 female patients who were treated in the hospital from March 2008 to March 2010 were collected, then 57 nonpalpable breast lesions found by Mo - target mammography received wire - localized biopsy and pathological examina- tion. Results： All the lesions found by Mo - target mammography were accurately localized and excised, 17 cases were found with breast cancer, accounting for 30. 4% ; 14 cases were found with mild to moderate ductal or lobular atypical epithelial hyperplasia, accounting for 25.0%. Conclusion： The nonpalpable breast lesions with abnormal Motarget mammography should be treated discreetly; Motarget mammography - guided wire - localized biopsy can find early breast cancer and precancerous lesion; the method is simple and accurate, which is worthy to be popularized.