微创旋切术在乳腺BI-RADS 4A类“微钙化非肿块型”病灶诊治中的应用
Chinese Journal of Ultrasound in Medicine(2016)
Abstract
目的 比较钼靶、超声双重联合引导麦默通(MMT)微创旋切术与传统粗针活检术在乳腺BI-RADS 4A类“微钙化非肿块型”病灶诊治中的优劣,探讨其应用价值.方法 回顾性对比分析106个病灶MMT及粗针穿刺活检术的病理结果及漏诊率、低估率.结果 106个病灶中癌前病变及原位癌(共32个,30.19%)较为常见.MMT对乳腺癌前病变及原位癌检出率高于粗针穿刺活检术(P<0.05);MMT对病灶漏诊率和癌前病变及原位癌的病情低估率皆低于粗针穿刺术(P<0.05).结论 双重联合引导MMT微创旋切术对乳腺BI-RADS 4A类“微钙化非肿块型”病灶诊断效能优于粗针穿刺活检,能有效发现乳腺早期恶性病变;能微创、安全地切除该类型病灶.
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Key words
Breast lesions,Minimally invasive,Microcalcification,Non-mass
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