真空辅助旋切系统在乳腺肿块微创活检中的应用

The Application of Vacuum-assisted Biopsy System in the Minimally Invasive Biopsy for Breast Lesions

目的探讨真空辅助旋切系统在乳腺肿块微创活检中的应用价值。方法对行乳腺肿块微创切除活检术的294例乳房肿块患者(均为女性)进行回顾性分析。结果 14例(4.8%)乳腺可疑病灶病理确诊为恶性,280例(95.2%)患者的乳腺可疑病灶为良性病变。14例恶性病灶者均直接行乳腺癌改良根治术,平均随访12(9～16)个月,患者的患侧胸壁均未发现局部复发病灶。280例良性病灶患者肿块均完全切除,术后平均随访9(6～12)个月,在原可疑病灶处均未发现病灶残留或复发。结论真空辅助旋切系统进行乳腺肿块切除活检准确、可靠,并为下一步治疗提供病理依据,活检良性者可达到肿块完全切除,降低了良性肿块癌变的风险,因此可作为乳腺肿块切除活检首选方法之一。

Objective To investigate the application value Of vacuum-assisted biopsy system in the minimally in- vasive biopsy for breast lesions. Methods The 294 female patients with breast lesions underwent minimal invasive biopsy excision and the operative outcomes were retrospectively analyzed. Results The 14 cases （4.8%） were di- agnosed as cancer and 280 cases （95.2%） were diagnosed as benign. The 14 cases of cancer after modified radical mastectomy were followed for 12 （9-16） months and no tumor recurrence was detected on the affected side chest wall. The others of the benign tumors after removed the tumor were followed for 9 （6-12） months and no tumor resi- due or recurrence was detected in the original suspicious lesions place. Conclusion The vacuum-assisted biopsy technique for breast lesions is accurate, reliable, and provides reliable basis for the next treatment. The breast lesions with benign biopsy can be completely removed, which reduce the risk of canceration. Therefore, the vacuum-assisted biopsy technique can be used as one preferred method for breast lesions excision biopsy.