摘要
目的探讨乳腺X线立体定位真空辅助活检术(SVAB)在乳腺导管上皮不典型增生(ADH)诊断中的应用价值。方法 278例临床不可触及且超声检查阴性的乳腺微小钙化行SVAB。结果 SVAB活检成功率为99.3%(276/278),276例乳腺微小钙化中,乳腺ADH共27例,占活检总数的9.8%(27/276),其中轻度ADH 18例、中度ADH 4例、重度ADH 5例。未发现组织学低估。结论 SVAB诊断ADH未见组织学低估,且不需要全部进一步手术切检,有较高的临床应用价值。
Objective To evaluate the diagnostic value of stereotactic vaccum-assisted breast biopsy（ SVAB）on breast atypical ductal hyperplasia（ ADH）. Methods SVAB with 10-gauge vacuum devices was performed for the 278 patients with non-palpable microcalcification lesions detected by mammography only. Results The biopsy suc-cessful rate was 99. 3%（276/278）. Of the 276 patients,27 patients with ADH accounting for 9. 8%（27/276）of total biopsy numbers,included 18 patients with mild ADH,4 patients with midrange ADH and 5 patients with severe ADH. The histological underestimation rates to carcinoma was 0. 0%. Conclusion The histological underestimation rate of SVAB is 0. 0% and it is not necessary for all the ADH to surgical excision.
出处
《肿瘤基础与临床》
2015年第5期431-433,共3页
journal of basic and clinical oncology
基金
深圳市科技计划项目(编号:200703268)
