乳腺微小钙化灶的定位切除和病理活检
Localized resection and pathological biopsy of micro-calcifications in breast
-
摘要: 目的 介绍乳腺内触诊阴性的微小钙化灶定位切除与活检的方法, 为定性诊断提供组织学依据, 提高临床触诊阴性乳腺癌的早诊率。方法 10 2例共 111侧乳腺微小钙化灶均在X线下放置 1～ 2根金属定位线, 在定位线引导下行钙化灶切除及病理组织学检查。结果 全组乳腺癌 2 6例, 占 2 5 .5 %, 钼靶片显示乳腺实质内的针尖样或沙粒样钙化灶, 密度均匀一致, 颜色深浅适中, 多点成簇 ;乳腺良性疾病 76例, 占 74 .5 % ;钼靶片显示乳腺实质和间质中的小点状和 /或小杆状钙化灶, 大小不一, 密度不均, 数目少且散在。术前决定切除的钙化灶均一次性完整切除, 无 1例再行补切, 无并发症。结论 在影像科、外科、病理科的合作下, 利用金属线在X线引导下对乳腺内微小钙化灶定位, 在定位线引导下行钙化灶切除及病理组织学检查是一种有效而安全的诊断方法, 提高了无肿块乳腺癌的早诊率 ;此方法简单易行便于推广。Abstract: Objective We introduce a localization and biopsy method for detecting micro-calcifications, to obtain histopathological results and to improve the diagnosis of early-staged, non-palpable breast cancer. Methods The micro-calcification loci of 102 patients were localized by 1 to 2 hookwires under X-rays surveillance. The biopsy had been undergone with the guidance of the hookwires. The specimens were sent for histopathological examination. Results In all 102 cases (111 foci), 26 cases ( 25.5% ) were patien...
下载:
