摘要
目的：评价立体定位真空辅助空心针乳腺穿刺活检（SVAB）在诊断乳房微钙化中的应用价值。方法：2012年12月~2014年2月,对中日医院乳腺肿瘤中心治疗的22例乳腺钙化患者均行SVAB。结果：22例患者活检标本在影像上都能观察到钙化灶并经病理证实,13例簇状钙化灶完全切除,另外9例钙化灶部分切除。6例诊断为导管原位癌,3例诊断为浸润性导管癌,1例为浸润性小叶癌。并发症包括穿刺部位的渗血1例,皮下淤斑2例。10例乳腺癌均无复发,其余12例患者伤口愈合良好,乳房外观满意。随诊8~22个月,未发现恶性肿瘤复发。结论：SVAB诊断乳房微钙化准确、微创,术后并发症少。
Objective：To evaluate the clinical value of stereotactic vacuum-assisted breast biopsy in diagnosis of breast microcalcifications.Methods：From December 2012 to February 2014,twenty-two patients with breast microcalcifications were treated.All patients was carried out stereotactic vacuum-assisted breast biopsy.Results：In 22 patients,calcification of the biopsy specimen was detected by an X-ray examination and confirmed by histopathological examination.Thirteen lesions with cluster calcifications were completely excised,and other lesions were partially excised.Among them six patients were diagnosed as ductal carcinoma in situ,three patient were diagnosed as infiltrating ductal carcinoma,and one patient was diagnosed as infiltrating lobular carcinoma.One patient bled at puncture site,and ecchymosis was observed in 2 patients.During follow-up period,no recurrence was found in patients with breast cancer,and no sign of malignancy was found in the rest of patients.Conclusion：Stereotactic vacuum-assisted breast biopsy was an safe,accurate,minimally invasive procedures in the diagnosis of breast microcalcifications.
出处
《中日友好医院学报》
2015年第2期72-75,F0002,共5页
Journal of China-Japan Friendship Hospital
