乳腺微小病变定性诊断的探讨

The differential diagnosis of nonpalpable breast lesion

目的探讨应用乳腺钼靶机对不可触及的乳腺微小病变 (nonpalpablebreastlesion ,NPBL)的定性诊断价值。方法应用乳腺钼靶机及其配套的立体定位装置导入特制的钢丝定位针指导手术切检 (needlelocalizedoperationbiopsy ,NLOB)或直接穿刺活检 (sterotacticcoreneedlebiopsy ,SCNB)对 82例患者 90个NPBL进行的SCNB和NLOB。结果 82例患者中 ,2 0例为恶性病变 ,占2 4 4 % ,6 1例为良性病变 ,需要手术的共有 35例 ,占 4 2 7%。结论SCNB和NLOB的应用对乳腺微小病变的定性诊断定位准确、安全、实用。

Objective To evaluate needle localized operation biopsy (NLOB) and sterotactic core needle biopsy (SCNB) in the differential diagnosis of nonpalpable breast lesion (NPBL) found by mammography. MethodsIn 82 cases, a total of 90 NPBL were found, NLOB or SCNB were applied to make the diagnosis.ResultsBreast carcinoma (24.4%)was finally diagnosed in 20 cases, 61 cases were diagnosed with benign lesion. Thirty-five cases needed (42.7%) a surgery. Conclusion NLOB and SCNB provide new ways in establishing diagnosis of breast minimal lesions.