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钼钯X线引导下导丝定位在乳腺亚临床病灶切除中的应用
引用本文:Su J,Chen MX,Li MQ. 钼钯X线引导下导丝定位在乳腺亚临床病灶切除中的应用[J]. 中华医学杂志, 2011, 91(2): 92-94. DOI: 10.3760/cma.j.issn.0376-2491.2011.02.006
作者姓名:Su J  Chen MX  Li MQ
作者单位:郑州大学第一附属医院乳腺外科,450052
摘    要:目的 探讨钼靶X线引导下导丝定位技术在乳腺亚临床病灶切除中的临床应用价值.方法 对79例临床未触及明确乳腺肿块而在钼靶片有异常表现患者共82个病灶(3例双侧)行钼钯引导下导丝定位,引导手术切除,行病理学检查.结果 82例病灶均定位准确,其中乳腺癌9例,乳腺不典型增生5例,导管内乳头状瘤2例,乳腺纤维瘤4例,乳腺增生伴钙...

关 键 词:乳腺肿瘤  钼靶  导丝定位  乳腺亚临床病灶

Application of guide wire location under mammography for a resection of subclinical breast lesions
Su Jing,Chen Ming-Xun,Li Meng-Quan. Application of guide wire location under mammography for a resection of subclinical breast lesions[J]. Zhonghua yi xue za zhi, 2011, 91(2): 92-94. DOI: 10.3760/cma.j.issn.0376-2491.2011.02.006
Authors:Su Jing  Chen Ming-Xun  Li Meng-Quan
Affiliation:Department of Breast Surgery, First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052, China.
Abstract:Objective To investigate the value of guide wire location under mammography for a resection of subclinical breast lesions. Methods A total of 79 patients presenting with abnormal mammography but unpalpable lesions received a guide wire pre-operative location under mammography. And 82 lesions were successfully located and resected for pathological examination. Results All 82 lesions were located with a high accuracy. The pathological examination revealed breast fibroma (n = 4), mammary gland hyperplasia with calcification ( n = 58 ), intraductal papiloma ( n = 2), fat necrosis with calcification ( n =3), mammary atypical hyperplasia ( n = 5 ), breast inflammation ( n = 1 ) and breast cancer ( n = 9).Conclusion The technique of guide wire location under mammography is highly accurate for pre-operative location of subclinical breast lesions. It is valuable for an early diagnosis of unpalpable breast lesions.
Keywords:Breast neoplasms  Mammography  Application of guide wire location  Subclinical breast lesion
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