CAJ | 학술논문

目的探讨不可触及乳腺癌的诊断和治疗.方法回顾分析26例不可触及乳腺癌的诊断、术前定位和手术治疗.结果 26例26个病灶均经超声和乳腺钼靶摄片发现,经超声或钼靶导引下导丝定位行局部扩大切除术.其中14个病灶为导管原位癌,9个病灶为导管原位癌伴微浸润,3个病灶为浸润性导管癌.结论超声和乳腺钼靶摄片相结合可提高不可触及乳腺癌的发现率,超声或钼靶导引下行病灶局部扩大切除可缩短手术时间,避免再次手术时过多地切除乳腺组织,保留了乳房的外形美观.
목적 탐토불가촉급유선암적진단화치료.방법 회고분석26례불가촉급유선암적진단、술전정위화수술치료.결과 26례26개병조균경초성화유선목파섭편발현,경초성혹목파도인하도사정위행국부확대절제술.기중14개병조위도관원위암,9개병조위도관원위암반미침윤,3개병조위침윤성도관암.결론 초성화유선목파섭편상결합가제고불가촉급유선암적발현솔,초성혹목파도인하행병조국부확대절제가축단수술시간,피면재차수술시과다지절제유선조직,보류료유방적외형미관.
Objective To evaluate the diagnosis and surgical management of non-palpable breast cancer (NPBC). Methods Diagnosis, preoperative localization and surgical management of 26 cases of NPBC were analyzed retrospectively.Results All the 26 lesions were found by ultrasound or mammography.Local-extensive excision was performed under preoperative ultrasound-guided or radio-guided wire localization.Of the 26 lesions, 14 were ductal carcinoma in situ (DCIS), 9 were DCIS with micro-invasion and 3 were invasive ductal carcinoma.Conclusions Combination of ultrasound and mammography improves the discovery rate of NPBC.Local-extensive excision under preoperative ultrasound-guided or radio-guided wire localization of NPBC shortens the duration of surgical procedure, avoids excessive resection of breast tissues and maintains the apperance of the breast.