CAJ | 학술논문

目的评估粗针穿刺组织检测可触摸乳腺癌的临床使用价值.方法回顾性分析2003年3月～2007年9月对200例可触摸乳腺癌进行粗针穿刺活检,记录所有患者的临床病理资料;比较不同病理分期、肿块最大径和最小径对穿刺结果的影响,复习文献比较本方法和细针穿刺、切除活检的优劣势.结果粗针穿刺组织可触摸乳腺癌的准确率97%.肿物最大径、最小径、TNM分期对于穿刺结果影响差异无显著性意义.结论乳腺粗针穿刺诊断可触摸乳腺癌是准确、安全、微创的方法;穿刺可触摸乳腺癌准确率主要和操作者技术有关;操作通道应该位于手术切除范围,同时要尽量避免前哨淋巴结引流通道.
목적 평고조침천자조직검측가촉모유선암적림상사용개치.방법 회고성분석2003년3월～2007년9월대200례가촉모유선암진행조침천자활검,기록소유환자적림상병리자료;비교불동병리분기、종괴최대경화최소경대천자결과적영향,복습문헌비교본방법화세침천자、절제활검적우열세.결과 조침천자조직가촉모유선암적준학솔97%.종물최대경、최소경、TNM분기대우천자결과영향차이무현저성의의.결론 유선조침천자진단가촉모유선암시준학、안전、미창적방법;천자가촉모유선암준학솔주요화조작자기술유관;조작통도응해위우수술절제범위,동시요진량피면전초림파결인류통도.
Objective To study core needle biopsy in diagnosis of palpable breast cancer.Methods Retrospectively analyze core needle biopsy in 200 cases of palpable breast cancer.We recorded the clinical and pathology data and used crosstable test to analyze the effect of maximal and minimal tumor size.and TNM stage on the results. Results The ratio of success was 97%. No significant difference was found among the groups of different maximal tumor size, minimal tumor size and TNM stage (P ＞ 0.05 ). Conclusion ( 1 )For the diagnosis of the suspicious malignant palpable mass, core needle biopsy is effective, safe, microtraumatic and suitable to be used in different-class hospitals ; (2) The success of core needle biopsy for palpable breast cancer is correlated with dexterity of operator; (3)Biopsy channel should be in the range of operation and avoid of affecting sentinel lymphatic channels.