我们可以做乳房保养手术没有手术期间冷部分的边缘吗?
Dongyan Xu1, Kaiyue Wang1, Chen Lin1
1Department of Breast Surgery and Oncology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China; Cancer Institute (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education, Key Laboratory of Molecular Biology in Medical Sciences), The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
术内超声波和乳房扫描为评估乳腺癌手术边缘的冷部位提供了可靠的替代方案,可显著减少患者等待时间.
科学领域:
- 在瘤学瘤学.
- 手术病理学手术病理学
- 放射学 放射学是一门学科.
背景情况:
- 乳腺保护手术 (BCS) 是乳腺癌的标准治疗方法.
- 准确评估手术边缘对于防止局部复发至关重要.
- 传统的手术内冷部位分析可能会耗费大量时间.
研究的目的:
- 评估手术内超声波和样本造乳镜的安全性和可靠性,以确定BCS中的外科边缘.
- 将这些方法与传统的手术内冷病理切口进行比较.
主要方法:
- 一项回顾性,非随机化研究,比较了两组接受BCS的乳腺癌患者.
- 一组 (n=104) 使用了手术内冷截面分析.
- 另一组 (n=53) 使用手术内超声波和乳房镜来指导边际评估.
主要成果:
- 无结组 (超声波/乳房学) 的结果等待时间显著缩短 (30分钟对64分钟).
- 冷边缘组的积极外科手术边缘率为0.96%.
- 术后病理发生率为99.04%的手术内冷部位和100%的手术内乳房造影.
结论:
- 术内超声波和乳房造影是准确的,可靠的,经济的,并方便评估切除边缘在BCS.
- 这种方法可以减少操作等待时间.
- 需要进一步的长期跟踪来确认安全性,但它显示出作为主流评估方法的潜力.
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