超声引导穿刺活检在乳腺癌前病变中的临床价值

Value of ultrasound-guided core needle biopsy in diagnosing breast cancer and breast pre-cancer lesions

目的探讨超声引导穿刺活检在乳腺癌前病变诊断中的临床价值。方法对超声检查发现的104例104个乳腺病灶行超声引导下穿刺活检,将穿刺病理结果与术后病理进行对照。结果穿刺病理结果为乳腺癌61例、不典型增生8例(7.7%)及乳腺良性病变35例;101例乳腺病灶的超声导向穿刺病理与手术病理结果相符,3例活检穿刺报告为腺病者术后病理为导管内原位癌。超声引导下穿刺活检诊断乳腺癌和癌前病变的敏感性为95.8%,特异性为100%,准确性为97.1%。结论超声引导下乳腺病灶穿刺活检是一种实用、准确、可靠的早期诊断方法。

Objective To assess the value of ultrasound guided core needle biopsy in diagnosing breast cancer and pre-caneer lesions. Methods One hundred and four patients with breast mass who received ultrasound guided core nee- dle biopsy were included. The pathological results of the biopsies were compared between the pre and post-operational pathological diagnosis. Results The results of core needle biopsy included breast cancer in 63 patients, pre-caneer in 8 patients and benign breast lesions in 33 patients, only 3 patients were diagnosed mastopathy by needle biopsy, but was confirmed to be breast intraduetal carcinoma in situ by post-operation pathological examination. The sensibility, specificity and accuracy of the ultrasound guided puncture and biopsy was 95.8%, 100%and 97.1%, respectively. Conclusions Ul- trasound guided core needle biopsy is a safe, accurate and reliable diagnostic approach for breast small mass before opera- tion. It plays an important role in early diagnosis of breast cancer.