CAJ | 학술논문

目的：探讨数字化立体定位导丝导向活检（SNLB），对临床不可触及乳腺病变（NPBL）的诊断及临床应用价值。方法对95例临床触诊阴性，而数字钼钨双靶乳腺摄片发现异常的病灶，进行了SNLB切除活检。结果数字化乳腺摄片表现为：簇状微小钙化49例，孤立性结节27例，局限致密或结构紊乱15例，放射状毛刺影4例。 SNLB活检组织标本病理结果中良性病变67例，恶性病变28例，其中包括导管原位癌14例。结论 SNLB对临床不可触及病变，定位定性诊断准确、安全，有利于早期发现乳腺癌。
목적：탐토수자화입체정위도사도향활검（SNLB），대림상불가촉급유선병변（NPBL）적진단급림상응용개치。방법대95례림상촉진음성，이수자목오쌍파유선섭편발현이상적병조，진행료SNLB절제활검。결과수자화유선섭편표현위：족상미소개화49례，고립성결절27례，국한치밀혹결구문란15례，방사상모자영4례。 SNLB활검조직표본병리결과중량성병변67례，악성병변28례，기중포괄도관원위암14례。결론 SNLB대림상불가촉급병변，정위정성진단준학、안전，유리우조기발현유선암。
Objective To discuss the diagnostic value of digital stereotactic needle localized biopsy ( SNLB) for nonpal-pable breast lesions ( NPBL) .Methods SNLB was performed in 95 cases of NPBL but could be digital mammography ,the re-sults were analyzed retrospectively .Results Among 95 cases various features could be found in their digital mammography ap-pearance:cluster microcalcifications in 49 cases,nodular lesion in 27 cases,architecture distortion in 15 cases,spicules in 4 ca-ses.Pathologic of biopsy specimen were as follows:67 benign lesions,28 malignant lesions including 14 cases of in ductal carcino-ma in situ.Conclusion SNLB provides an accurate and safe method for NPBL and for detection of early breast cancer .Frozen section is feasible and accurate in the majority of these lesions and helps excise the entire lesion without excessive excision of the surrounding normal tissues ,and therefore ,diagnostic and therapeutic one-step surgical procedures could performed .