乳腺微小病灶立体定位切除活检的临床应用

The clinical application of breast minute lesions stereotaxic excision biopsy

目的:探讨乳腺微小病灶经B超、钼靶定位切除活检的临床应用价值。方法:分别对55例、40例临床触诊阴性的乳腺微小病灶进行B超、钼靶定位切除活检。结果:发现乳腺纤维腺瘤35例(36.84%),乳腺增生29例(30.53%),乳管内乳头状瘤7例(7.37%),慢性乳腺炎5例(5.26%),轻度不典型增生4例,中度不典型增生2例,乳腺癌19例(20.00%),其中0期乳腺癌4例,I期乳腺癌5例,II乳腺癌10例。结论:利用B超及钼靶X线引导下金属导丝定位切除乳腺微小病灶病检具有重要的临床应用价值。

Objective： To investigate the clinical application value of breast minute lesions stereotaxic excision biopsy by ultrasound and mammography. Methods： Respectively for 55 cases, 40 cases of clinical touch negative breast minute lesions ultrasound and mammography location and excision biopsy. Results： Found that breast fibroadenoma in 35 cases（36.84%）, breast hyperplasia in 29 cases（30.53%）, 7 cases of inverted papilloma of the breast duct（7.37%）, chronic mastitis in 5 patients（5.26%）, 4 cases were mild dysplasia, moderate dysplasia in 2 cases, 19 cases of breast cancer（20.00%）, with zero phase 4 cases of breast cancer, I period in 5 cases of breast cancer, II 10 cases of breast cancer. Conclusion： Use of ultrasound and molybdenum target X-ray guided by metal thread positioning excision of breast small focal disease has important clinical value.