Mammotome乳房活检系统临床应用2794例报告

目的 探讨影像引导下Mammotome微创手术对乳腺病灶的诊断与治疗价值。方法 广东省人民医院肿瘤中心乳腺科2004年6月至2008年11月对2794例病人（乳腺影像学发现的BIRADS评级Ⅱ~V级病灶者）在影像引导下进行Mammotome微创活检术。 结果 术后病理学诊断乳腺浸润性癌263例，乳腺导管内癌240例，不典型增生53，良性病变2238例。263例乳腺浸润性癌接受外科手术及辅助治疗。240例乳腺导管内癌，53例不典型增生及99例乳头状癌接受外科开放性手术，3例被证实组织学低估。Mammotome微创活检术后活动性出血发生率为0.11%（3/2794），血肿0.39%（11/2794），无切口感染发生。所有病理诊断良性病变病人术后6个月始均接受B超随访。结论 应用影像引导下Mammotome旋切系统对乳腺病灶进行微创活检，获得明确病理组织学诊断，是一种有效的、安全的手术方法。

Applied study on the minimally invasive surgery of breast for imaged-guided mammotome : a report of 2794 cases

Applied study on the minimally invasive surgery of breast for imaged-guided mammotome : a report of 2794 cases LIAO Ning, LI Xue-rui, MANG Kun, et al. Department of Breast Disease,Guangdong Provincial Pelple′Hospital,Guangzhou510080,China Corrsponding author：LIAO Ning,E-mail: drliao_ning@hotmail.com Abstract Objective To investigate the value of diagnosis and treatment in minimally invasive surgery of imaged guided mammotome for breast lesion. Methods From June 2004 to December 2008, 2794 cases underwent minimally invasive surgery under imaged guided mammotome. Results In postoperative pathological diagnosis , 263 cases was invasive breast cancer , 240 cases was ductal carcinoma in situ, 53 cases was atypical hyperplasia, 2238 cases was benign breast lesions. 263 cases of invasive breast cancer were given surgical treatment and adjuvant therapy. 240 cases of ductal carcinoma in situ, 53 cases of atypical hyperplasia and 99 cases of breast papillomatosis were given open surgical procedures. 3 cases were confirmed histologically underestimated. Incidence rate of postoperative active bleeding was 0.11% (3 / 2794), hematoma was 0.39% (11/2794), no incision infection. All patients of benign breast lesions were accepted follow-up by B-type ultrasonic inspection after 6 months. Conclusion Imaged- guided mammotome can perform the minimally invasive surgery for breasts lesion and a determinative histopathologic diagnosis can be obtained.