Mammotome微创旋切术治疗乳腺良性肿瘤310例分析

目的 探讨Mammotome微创旋切系统对乳腺良性病灶进行微创切除的治疗价值.方法 在超声图像监控下,利用Mammotome系统对310例1 160个乳腺肿块进行切除及病理检查,记录术后随访情况.并回顾性分析其临床资料.结果 全组1 160个乳腺肿块被准确地完全切除.切除组织量大,足以用于病理诊断.术后病理学诊断均为良性;672个肿块为纤维腺瘤,451个为纤维腺病,12个为导管内乳头状瘤,6个为囊肿,17个为囊性增生,2个为管状腺瘤.术后每6～12个月定期复查,发现术后切口瘢痕不明显,切口小而隐蔽,乳腺外形及皮肤感觉正常,超声未发现病灶残留,复发.结论 Mammotome技术对乳腺良性病灶可进行完整切除,是准确、有效、安全、创伤小、并发症少,不影响外观.是值得推广的乳腺微创技术.

Analysis of 310 patients with benign breast tumor treated by mammotome minimally invasive stereotactic excision therapy

Objective:To evaluate the therapeutic value of minimally invasive excision of benign breast lesions using stereotactic mammotome minimally invasive surgery system.
Methods:Under ultrasonographic image monitoring, 1160 breast masses of 310 patients were excised using mammotome minimally invasive stereotactic excision system and sent for pathologic examinations immediatly. Patients′condition was follow-ed up and recorded  post-operative. Their clinical data were retrospectively analysed.
Results:Accurate and complete resection of all of  the 1160 breast masses was achieved. The resected tissues were large enough to make pathologic diagnosis. The pathologic diagnoses were all found to be benign, and included: fibroadenoma (n=672), fibroadenosis (n=451), intraductal papilloma (n=12), cyst (n=6),  cystic hyperplasia (n=17) and tubular adenoma (n=17). Regular follow up every 6-12 months was done. Postoperative surgical scars were unremarkable, the skin incisions were small and concealed, breast appearance and skin sensation were normal and ultrasonography did not reveal residual lesions or recurrences.
Conclusions:Complete resection of benign breast lesions can be done with mammotome technique. This technique is safe, accurate and effective. Moreover, there is little trauma, low complication rate, and the breast appearance is not affected. This minimally invasive excision technique for benign breast lesions is suitable for wide use.