数字化三维立体导丝定位穿刺技术在乳腺微小病灶中的应用 |
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引用本文: | 季亚平,胡义刚,史敏,杨桂芳,. 数字化三维立体导丝定位穿刺技术在乳腺微小病灶中的应用[J]. 放射学实践, 2012, 27(1): 49-51 |
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作者姓名: | 季亚平 胡义刚 史敏 杨桂芳 |
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作者单位: | 扬州大学附属扬州市妇幼保健院放射科,江苏,225002 |
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摘 要: | 目的:探讨数字化三维立体导丝定位穿刺术对乳腺微小病灶的诊断价值。方法:回顾性分析临床触诊阴性而影像学表现异常的患者41例(乳腺微小病灶43处),41例均行乳腺数字化三维立体导丝定位穿刺切除并进行病理学检查。结果:43处微小病灶均定位成功,病变完全切除。病理检查:恶性病变8处,其中原位癌3处,浸润性导管癌Ⅰ~Ⅱ级3处,导管内癌伴早期浸润1处,浸润性导管癌伴腋下淋巴结转移1处;良性病变35处。结论:乳腺数字化三维立体导丝定位穿刺技术定位准确、损伤小、诊断符合率高,是治疗乳腺微小病变的重要手段,也是发现早期乳腺癌的重要方法。
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关 键 词: | 乳腺 导丝定位 放射外科手术 病理学 |
3D guide-wire localization technique with digital mammography in the clinical application for minute breast lesions |
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Affiliation: | JI Ya-ping,HU Yi-gang,SHI Min,et al.Department of Radiology,Maternal and Child Health Care Hospital of Yangzhou University,Jiangsu 225002,P.R.China |
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Abstract: | Objective:To investigate the value of 3D guide-wire localization technique with digital mammography in the diagnosis of minute breast lesions.Methods:41 cases having imaging abnormalities yet with non-palpable breast lesions(43 lesions) underwent 3D guide-wire localization biopsy with digital mammography and pathologic diagnosis was obtained.The results were analyzed retrospectively.Results:All forty-three lesions were successfully localized and completely excised.The pathologic findings revealed eight malignant lesions including carcinoma in situ(n=3),gradeⅠ~Ⅱ invasive ductal carcinoma(n=3),intraductal carcinoma associated with early invasion and invasive ductal carcinoma with axillary lymph node metastasis for 1 lesion each.Benign lesions were found in 35 sites.Conclusion:Precise localization with mild trauma and accurate diagnosis could be provided by 3D guide-wire localization technique with digital mammography,which is an important approach for treating minute breast lesion as well as detecting early breast carcinoma. |
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Keywords: | Breast Wire localization Radiosurgery Pathology |
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