CAJ | 학술논문

目的总结应用麦默通(mammotome)旋切系统在发现早期乳腺癌的经验.方法对郑州大学附属郑州市中心医院临床1000例乳腺肿块患者在超声引导下应用麦默通进行微创手术,将切除的条状肿瘤组织送快速冰冻病理检查,对良性肿物,直接彻底切除;如为恶性,行保乳手术或据前哨淋巴结情况行单纯乳腺切除或乳腺癌改良根治术.结果通过术中快速冰冻发现10例早期乳腺癌,病灶最小直径3 mm,4例为导管内癌,5例为浸润导管癌,1例为混合癌,仅1例腋窝淋巴结转移.结论对触诊阴性的肿块不能忽视,超声引导下麦默通微创系统对于触诊阴性或多发肿块,及可疑恶性病灶,可达到定位准确,诊断明确,良性病变可达到手术切除目的,并可作为发现早期乳腺癌的重要手段.
목적 총결응용맥묵통(mammotome)선절계통재발현조기유선암적경험.방법 대정주대학부속정주시중심의원림상1000례유선종괴환자재초성인도하응용맥묵통진행미창수술,장절제적조상종류조직송쾌속빙동병리검사,대량성종물,직접철저절제;여위악성,행보유수술혹거전초림파결정황행단순유선절제혹유선암개량근치술.결과 통과술중쾌속빙동발현10례조기유선암,병조최소직경3 mm,4례위도관내암,5례위침윤도관암,1례위혼합암,부1례액와림파결전이.결론 대촉진음성적종괴불능홀시,초성인도하맥묵통미창계통대우촉진음성혹다발종괴,급가의악성병조,가체도정위준학,진단명학,량성병변가체도수술절제목적,병가작위발현조기유선암적중요수단.
Objective To summarize the experience of mammotome minimally invasive biopsy in detection of early breast cancer.Methods 1000 cases with breast lesions underwent minimally invasive surgery under imaging guided mammotome.Results By intraoperative frozen section,10 cases of early breast cancer was found,with 3 millimetre as the minimum lesion diameter,among whom 4 cases were intraductal carcinoma,5 cases were infiltrating ductal carcinoma,and 1 case was mixed carcinoma.Axillary lymph node metastasis was found in only 1 case.Conclusions Non-palpable small lesions cant be ignored.Ultrasound-guided mammotome minimally invasive surgery can accurately position and specifically diagnose non-palpable small lesions or multiple lesions,as well as suspicious malignant lesions.Benign lesions can be directly resected by uhrasound-guided mammotome minimally invasive surgery,which is of great value in detection of early breast cancer.