非可触摸的乳腺病变的大核心针活检
J E Meyer1, D N Smith, S C Lester
1Department of Radiology, Brigham and Women's Hospital, Boston, Mass 02115, USA. jemeyer@bics.bwh.harvard.edu
JAMA
|May 11, 1999
概括
大核心针活检 (LCNB) 是一种安全而准确的方法,用于诊断非触觉性乳腺异常. 这种以图像为指导的技术为乳房镜检查期间发现的可疑病变提供了外科切除的可靠替代方案.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 乳房成像 乳房成像
背景情况:
- 查性乳房显微镜越来越多地识别出非触摸性乳房异常.
- 大核心针活检 (LCNB) 为这些发现提供了外科切除的替代方案.
研究的目的:
- 评估通过成像检测到的非触摸性乳腺异常的LCNB的安全性和准确性.
主要方法:
- 在1991年至1997年期间进行的1836个LCNB的案例系列.
- 采用了带有立体或超声指导的14或11尺针.
- 将LCNB结果与外科切除结果进行比较.
主要成果:
- 在1836个病变中,有24%是恶性的.
- 最初的LCNB在22%的病例中诊断出恶性瘤;重复活检发现了其他恶性瘤.
- 并发症是罕见的,包括表面感染和肺胸炎.
结论:
- 图像引导的LCNB是一种可靠的诊断方法,用于非触摸的乳房异常.
- 对于可疑的病变,它是外科切除的可靠替代方案.
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