乳腺肿块微创切除和(或)活检的新技术--Mammotome手术

目的介绍超声引导下使用Mammotome系统对乳腺肿块进行微创切除活检的实用性。方法在超声图像监控下，利用Mammotome系统对30例52个乳腺肿块进行切除活检．并记录术后随访情况。结果30例52个乳腺肿块被准确地完全切除，切除组织量大，足够用于病理诊断；46个肿块为纤维腺瘤，6个肿块为纤维腺病。术后4例并发血肿。切口小而隐蔽，乳房无变形。短期随访20例，肿块无残留和复发。结论Mammotome技术是一项切除准确、有效、安全、创伤小、并发症少的乳腺微创技术，可用于乳腺肿块活检．同时可对2cm以下的良性乳腺肿块进行切除。

A New Technique of Minimally Invasive Excision and(or) Biopsy of Breast Masses--Mammotome Operation

Objective To introduce the minimally invasive excision and biopsy of breast neoplasm with Mammotome vacuum device guided by ultrasound. Methods Fifty-two breast masses were detected in 30 patients through color Doppler. The ages of these patients range from 18 years to 49 years. Forty-six of those masses (88.5%) were clinically impalpable. Complete excision and biopsy of 52 breast masses were performed using Mammotome vacuum device guided by ultrasound. The patients were followed up and their postoperative condition were recorded. Results Fifty-two breast masses of 30 cases were excised completely, which was verified by color Doppler.The tissue excised by Mammotome were enough for pathological examination. Forty-six masses were proved to be fibroadenoma and the other 6 were proved to be adenosis. Hematoma was found in four patients after operation. The incisions were small and hidden, and the appearance of breasts remained well. Twenty patients were followed up for a shot period of time and no residual nidus or recurrence of the mass was found.Conclusion Minimally invasive excision and biopsy of breast masses with Mammotome vacuum device is an accurate and safe method. It is an ideal minimally invasive operation in treating benign breast neoplasm with few complications. It can be applied to biopsy of breast masses and complete excision of benign breast masses which are less than 2 cm in the same time.