肿瘤研究与临床
腫瘤研究與臨床
종류연구여림상
CANCER RESEARCH AND CLINIC
2013年
5期
320-321,324
,共3页
刘剑成%范秀丽%赵晚苗%张晓娟
劉劍成%範秀麗%趙晚苗%張曉娟
류검성%범수려%조만묘%장효연
钼靶引导%乳腺%穿刺活检
鉬靶引導%乳腺%穿刺活檢
목파인도%유선%천자활검
Mammographically-guided%Breast%Core biopsy
目的 分析钼靶引导下乳腺穿刺的病例,找出最适宜进行乳腺穿刺的病例特征.方法 将初步诊断乳腺癌的278例患者按影像学特征分为肿块型197例及非肿块型81例,用14 G核芯针在钼靶引导下进行穿刺活组织检查,与最终术后石蜡病理结果对照.结果 穿刺与石蜡病理检查结果吻合260例,活组织检查准确率达93.52％(260/278),影像学表现为肿块的197例,穿刺准确者192例,准确率达97.46％(192/197),非肿块型81例,穿刺准确者68例,准确率达83.95％(68/81).结论 临床和影像学表现为肿块型者最适合进行乳腺穿刺,非肿块型者穿刺阴性时必须行术中冷冻活组织检查,以免漏诊.
目的 分析鉬靶引導下乳腺穿刺的病例,找齣最適宜進行乳腺穿刺的病例特徵.方法 將初步診斷乳腺癌的278例患者按影像學特徵分為腫塊型197例及非腫塊型81例,用14 G覈芯針在鉬靶引導下進行穿刺活組織檢查,與最終術後石蠟病理結果對照.結果 穿刺與石蠟病理檢查結果吻閤260例,活組織檢查準確率達93.52％(260/278),影像學錶現為腫塊的197例,穿刺準確者192例,準確率達97.46％(192/197),非腫塊型81例,穿刺準確者68例,準確率達83.95％(68/81).結論 臨床和影像學錶現為腫塊型者最適閤進行乳腺穿刺,非腫塊型者穿刺陰性時必鬚行術中冷凍活組織檢查,以免漏診.
목적 분석목파인도하유선천자적병례,조출최괄의진행유선천자적병례특정.방법 장초보진단유선암적278례환자안영상학특정분위종괴형197례급비종괴형81례,용14 G핵심침재목파인도하진행천자활조직검사,여최종술후석사병리결과대조.결과 천자여석사병리검사결과문합260례,활조직검사준학솔체93.52％(260/278),영상학표현위종괴적197례,천자준학자192례,준학솔체97.46％(192/197),비종괴형81례,천자준학자68례,준학솔체83.95％(68/81).결론 림상화영상학표현위종괴형자최괄합진행유선천자,비종괴형자천자음성시필수행술중냉동활조직검사,이면루진.
Objective To analyze 278 breast biopsy cases guided by mammography and find the characteristic of the most suitable cases.Methods The initial diagnosis of breast cancer of 278 cases were divided into mass type (197 cases) and non-mass type (81 cases) according to the imaging features,the biopsy was performed in 14G core needle guided by mammography and contrasted to paraffin pathology of post operation.Results The cases of biopsy conformed by paraffin pathology were 260,accuracy rate is 93.52 ％(260/278).192 cases were diagnosed pathologically in 197 cases of mass type,and 68 cases in 81 cases of non-mass type.The accuracy rates were 97.46 ％ (192/197) and 83.95 ％ (68/81) respectively.Conclusion The mass type with clinical and imaging features is suited for biopsy.To avoid missed diagnosis,it is important to frozen during operation for the cases with the negative result in non-mass type.
