| 凌东亚 喻迎星 卜阳阳 丁雪委 丁虹 姜慧萍.数字化乳腺X线三维立体导丝定位在乳腺微钙化中的临床应用及诊断价值[J].浙江中西医结合杂志,2014,24(10): |
| 数字化乳腺X线三维立体导丝定位在乳腺微钙化中的临床应用及诊断价值 |
| Clinical Application and Diagnostic Value of Digital Mammography 3D Stereotaxic Needle Localization In Diagnosis of MicrocalcificationS |
| 投稿时间：2014-03-07 修订日期：2014-07-30 |
| DOI： |
| 中文关键词: 数字化乳腺X线摄影 乳腺微钙化 三维立体定位 |
| 英文关键词: |
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| 中文摘要: |
| 【】 目的：探讨数字化乳腺X线三维立体导丝定位在乳腺微钙化中的临床应用及诊断价值。方法：回顾性分析临床触诊阴性而数字乳腺X线片显示的微小钙化50例,采用乳腺数字化三维立体定位下穿刺,留置导丝于微小钙化区,引导外科医生行钙化区切除,再行切除物摄片,观察钙化是否在其中,而后送检病理。结果：49例钙化定位成功,病变完全切除。1例由于钙化位置过浅而失败。49例病理结果,良性34例,其中乳腺增生13例,纤维腺瘤6例,乳头状瘤4例,导管扩张7例,囊肿2例,慢性炎症2例。良性比例约69.4%。恶性15例,其中导管内癌7例,小叶癌3例,浸润性导管癌4例,小管癌1例。恶性肿瘤比例约占30.6%。 结论：乳腺X线三维立体导丝定位技术方法简单,定位准确、创伤微小,是目前检出以微钙化为主要征象的隐匿性乳腺癌的最好方法,对早期乳腺癌的诊断有着重要临床价值。 |
| 英文摘要: |
| 【SS】SObjective:STo evaluate the clinical application and the diagnostic value of three-dimensional stereotaxic needle localization with theSdigital mammography in diagnosis of breast micro-calcification.SMethods:SRetrospective analysis 50 cases of micro-calcification, which were negative in palpation and were detected by the digital mammography. All the cases performed the stereotaxic needleSlocalization under the digital mammography. The needles lied in the micro-calcification area which could guide the surgeon to operation. The tissue samples that were cut off during the surgical removal would send to perform the mammography again to prove the lesions had been cut off completely. Then the samples were sent to the department of pathology for the finally examination. Results:S49 cases were localized successfully. And the lesions were completely removed. 1 case was failed because the location of the lesion was too shallow to lay the needle. The 49 cases of pathological results included 34 cases benign micro-calcification and 15 cases malignant micro-calcification.S13 cases of mammary gland hyperplasia, 6 cases of fibroadenoma, 4 cases of papilloma, 7 cases of duct expansion, 2 cases of cyst and 2 cases of chronic inflammation belong to the benign group. Positive ratio of the benign is about 69.4%. 7 cases of intraductal carcinoma,S3 cases of lobular carcinoma, 4 cases of infiltrating ductal carcinoma and 1 case of tubular carcinoma belong to the malignant group. Malignant tumors account for about 30.6%.SConclusion:SThe digital mammography three-dimensional stereotaxic needle localization technology is simple, accurate with small trauma, which is currently the best method to detect the latent breast cancer with micro-calcification as the main signs.SIt also has important clinical value to the diagnosis of early breast cancer. |
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