中华内分泌外科杂志
中華內分泌外科雜誌
중화내분비외과잡지
CHINESE JOURNAL OF ENDOCRINE SURGERY
2013年
2期
115-117
,共3页
钼靶引导%麦默通%实时%乳腺钙化灶%乳腺癌
鉬靶引導%麥默通%實時%乳腺鈣化竈%乳腺癌
목파인도%맥묵통%실시%유선개화조%유선암
Mammography guidance%Mammotome%Real-time%Calcification of breast%Breast cancer
目的 探讨钼靶立体定位引导下实时麦默通对乳腺钙化病灶的临床应用价值.方法 回顾性分析2011年1月至2012年2月重庆医科大学附属第一医院内分泌乳腺外科钼靶定位下实时麦默通诊治42例(2例含双侧病灶),快速石蜡病理检查明确.结果 44个病灶中,良性病灶34个,其中乳腺病27个、纤维腺瘤2个、脂肪瘤1个、囊肿1个,其他良性病变3个,乳腺癌灶10个(1个诊断良性病变术后手术切除活检为乳腺癌).42例中,良性病变占76.2％ (32/42),乳腺癌占23.8％(10/42).术中均显示病灶完整切除,若病检为恶性病变则行乳腺癌改良根治术、保乳术及化疗等综合治疗.单个病灶切除时间约20 min.术后随访3个月未发现明显异常.结论 钼靶立体定位引导麦默通实时对乳腺钙化灶的定性诊断,能检出临床考虑良性病灶的早期乳腺癌,早诊治可提高患者生活质量及延长生存时间.乳腺钼靶立体定位实时麦默通微创活检操作简便、定位准确、并发症少,是乳腺钙化病灶尤其是可疑恶性钙化病灶的首选方法.
目的 探討鉬靶立體定位引導下實時麥默通對乳腺鈣化病竈的臨床應用價值.方法 迴顧性分析2011年1月至2012年2月重慶醫科大學附屬第一醫院內分泌乳腺外科鉬靶定位下實時麥默通診治42例(2例含雙側病竈),快速石蠟病理檢查明確.結果 44箇病竈中,良性病竈34箇,其中乳腺病27箇、纖維腺瘤2箇、脂肪瘤1箇、囊腫1箇,其他良性病變3箇,乳腺癌竈10箇(1箇診斷良性病變術後手術切除活檢為乳腺癌).42例中,良性病變佔76.2％ (32/42),乳腺癌佔23.8％(10/42).術中均顯示病竈完整切除,若病檢為噁性病變則行乳腺癌改良根治術、保乳術及化療等綜閤治療.單箇病竈切除時間約20 min.術後隨訪3箇月未髮現明顯異常.結論 鉬靶立體定位引導麥默通實時對乳腺鈣化竈的定性診斷,能檢齣臨床攷慮良性病竈的早期乳腺癌,早診治可提高患者生活質量及延長生存時間.乳腺鉬靶立體定位實時麥默通微創活檢操作簡便、定位準確、併髮癥少,是乳腺鈣化病竈尤其是可疑噁性鈣化病竈的首選方法.
목적 탐토목파입체정위인도하실시맥묵통대유선개화병조적림상응용개치.방법 회고성분석2011년1월지2012년2월중경의과대학부속제일의원내분비유선외과목파정위하실시맥묵통진치42례(2례함쌍측병조),쾌속석사병리검사명학.결과 44개병조중,량성병조34개,기중유선병27개、섬유선류2개、지방류1개、낭종1개,기타량성병변3개,유선암조10개(1개진단량성병변술후수술절제활검위유선암).42례중,량성병변점76.2％ (32/42),유선암점23.8％(10/42).술중균현시병조완정절제,약병검위악성병변칙행유선암개량근치술、보유술급화료등종합치료.단개병조절제시간약20 min.술후수방3개월미발현명현이상.결론 목파입체정위인도맥묵통실시대유선개화조적정성진단,능검출림상고필량성병조적조기유선암,조진치가제고환자생활질량급연장생존시간.유선목파입체정위실시맥묵통미창활검조작간편、정위준학、병발증소,시유선개화병조우기시가의악성개화병조적수선방법.
Objective To discuss the value of mammotome biopsy of breast cakified lesions under the real time guidance of mammography.Methods The data of 42 patients with 44 mammary gland calcification(2 patients with bilateral lesions)who underwent mammotome biopsy under the real time guidance of a mammography from Jan.2011 to Feb.2012 in the First Affiliated Hospital of Chongqing Medical University were retrospective analyzed.Rapid paraffin pathology was conducted.Results Among the 44 lesions,34 were benign(27 hyperplasia,2 fibroadenoma,1 lipoma,1 cyst,3 others)and 10 were breast cancer(a benign lesion diagnosed as breast cancer by postoperative biopsy was included).Among the 42 patients,32 patients had benign lesions,accounting for 76.2％ (32/42),10 patients had breast cancer,accounting for 23.8％ (10/42).All lesions were completely resected during the operation.Malignant lesions were given treatment such as modified radical mastectomy,breast conservation surgergery,chemotherapy and so on.A single lesion resection took about 20 minutes.During the follow-up of 3 months,no significant event happened.Conclusions Through the qualitative diagnosis of mammotome biopsy under the real time guidance of mammography,we can get early diagnosis of breast cancer.Early diagnosis and early treatment can improve the life quality and survival time.It is more important to detect early breast cancer which was considered benign lesions clinically.Mammotome biopsy under the real time guidance of mammography has several advantages including easy to operate,accurate positioning and less complications,making it the preferred approach in managing mammary gland calcification especially suspicious malignant calcification.
