乳腺钼靶引导乳腺可疑钙化灶金属导丝穿刺定位切除活检临床研究

Wire Guided Location,Excision and Biopsy of Suspicious Calcific Foic by Mammography

目的探讨全数字化乳腺钼靶摄影金属导丝穿刺定位术在无体征的乳腺可疑钙化病灶诊治中的临床研究。方法回顾性分析我院自2015年12月~2016年7月收治45例乳腺钼靶提示乳腺可疑钙化病灶而无任何临床体征的患者,进行乳腺钼靶引导下金属导丝穿刺定位并切除活检。术中根据金属导丝位置精准切除乳腺病灶,离体标本再次摄片与术前片对比证实精准完整切除病灶后,快速送冰冻活检,明确诊断和治疗方案。结果研究病例中,28例乳腺腺病,9例乳腺增生,1例乳腺导管扩张症,7例浸润性导管癌,恶性病例实施了乳腺癌改良根治手术。结论乳腺钼靶引导下金属导丝穿刺定位术操作简单、定位准确,助于乳腺可疑钙化病灶精确定位及精准切除,避免了无法精准切除病灶而导致疾病的漏诊。

Objective To study the clinical effect of wire guided puncture location, excision and biopsy of suspicious calcific foie by full - digital mammography. Methods A retrospective study was done to analyze the clinical data of 45 patients with suspicious calcific foie by mammography but without any signs, treated with wire - guided puncture location and excisional biopsy by mammography. According to the puncture location, the breast lesions were precisely excised. When the photos were taken again for confirmation of the precise excision, the lesions were immediately frozen for biopsy, diagnosis and treatment planning. Results Among the 45 cases , 28 ones were diagnosed with adenosis of breast, 9 with eccyclomastopa- thy, 1 with mammary duct ectasia and 7 with invasive ductal carcinoma. The malignant cases were treated with modified radical mastectomy of breast cancer. Conclusion The wire guided puncture location by mammography is easy to use and precise. It can help locate and excise the suspicious calcific foie precisely and avoid missing diagnosis because of impossibility of precise excision of the foci.