| 乳腺微小病变定性诊断的探讨 |
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| 引用本文： | 周冬仙,马捷,彭东红,刘新杰,麦沛成.乳腺微小病变定性诊断的探讨[J].中华普通外科杂志,2003,18(11):687-688. |
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| 作者姓名： | 周冬仙 马捷 彭东红 刘新杰 麦沛成 |
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| 作者单位： | 1. 518020,深圳,暨南大学医学院第二附属医院乳腺外科
2. 518020,深圳,暨南大学医学院第二附属医院放射科 |
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| 基金项目： | 广东省医学科研课题 (A2 0 0 1613 )资助项目 |
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| 摘 要： | 目的 探讨应用乳腺钼靶机对不可触及的乳腺微小病变(nonpalpable breast lesion，NPBL)的定性诊断价值。方法应用乳腺钼靶机及其配套的立体定位装置导人特制的钢丝定位针指导手术切检(needle localized operation biopsy，NLOB)或直接穿刺活检(sterotactic core needle biopsy，SCNB)对82例患者90个NPBL进行的SCNB和NLOB。结果82例患者中，20例为恶性病变，占24．4％，61例为良性病变，需要手术的共有35例，占42．7％。结论SCNB和NLOB的应用对乳腺微小病变的定性诊断定位准确、安全、实用。
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| 关 键 词： | 乳腺微小病变 定性诊断 乳房干板摄影术 活组织检查 直接穿刺活检 |
| 修稿时间： | 2003年1月7日 |
The differential diagnosis of nonpalpable breast lesion |
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| ZHOU Dong-xian,MA Jie,PENG Dong-hong,LIU Xin-jie,MAI Pei-cheng.The differential diagnosis of nonpalpable breast lesion[J].Chinese Journal of General Surgery,2003,18(11):687-688. |
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| Authors: | ZHOU Dong-xian MA Jie PENG Dong-hong LIU Xin-jie MAI Pei-cheng |
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| Institution: | ZHOU Dong-xian,MA Jie,PENG Dong-hong,LIU Xin-jie,MAI Pei-cheng. Department of Mammary Surgery,The Second Affiliated Hospital of Jinan University,Shenzhen 518020,China |
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| Abstract: | Objective To evaluate needle localized operation biopsy (NLOB) and sterotactic core needle biopsy (SCNB) in the differential diagnosis of nonpalpable breast lesion (NPBL) found by mammography. MethodsIn 82 cases, a total of 90 NPBL were found, NLOB or SCNB were applied to make the diagnosis.ResultsBreast carcinoma (24.4%)was finally diagnosed in 20 cases, 61 cases were diagnosed with benign lesion. Thirty-five cases needed (42.7%) a surgery. Conclusion NLOB and SCNB provide new ways in establishing diagnosis of breast minimal lesions. |
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| Keywords: | Breast diseases Xeromammography Biopsy |
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