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.pdfVIP

现代医院2017 年1月第17卷第1期　 专业技术篇　 Modern Hospital Jan2017 Vol 17 No 1 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 王　 刚　 叶永强　 谢宝龙　 袁福建 　 　 【摘　 要】　 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。 　 　 【关键词】　 全数字化乳腺钼靶;金属导丝;穿刺定位;无体征可疑钙化灶 　 　 中图分类号:R737.9　 　 文献标识码:A　 　 doi:10.3969/ j.issn.1671-332X.2017.01.042 Wire Guided Location,Excision and Biopsy of Suspicious Calcific Foic by Mammography WANG Gang,YE Yongqiang,XIE Baolong,YUAN Fujian 　 　 【Abstract】　 Objective　 To study the clinical effect of wire guided puncture location,excision and biopsy of suspi- ciouscalcificfoicbyfull-digital mammography. Methods　 Aretrospective studywasdonetoanalyzetheclinical dataof45 patients with suspicious calcificfoicby mammography butwithout any signs,treatedwithwire-guidedpuncturelocationand excisional biopsy by mammography. According to the puncture location,the breast lesionswere precisely excised. When the photos weretakenagainforconfirmationofthepreciseexcision,thelesionswereimmediatelyfrozenforbiopsy,diagnosisand treatment planning. Results　 Among the45 cases,28 oneswere diagnosedwith adenosis of breast,9 with eccyclomastopa- thy,1withmammary ductectasiaand7withinvasiveductalcarcinoma. Themalignantcasesweretreatedwithmodifiedradi- cal mastectomy of breast cancer. Conclusion　 The wire guided puncture location by mammography is easy to use and pre- cise. Itcanhelplocateandexcisethesuspiciouscalcificfoicprecisely andavoidmissingdiagnosisbecauseof impossibilityof precise excision of thefoci. 【Key words】　 Full-digital mammography;Wire guide;Puncture location;Suspicious calcificfoicwithout signs 　 　 【Author′s address】　 Cancer Hospital of Ganzhou,Ganzhou341000,China