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非典型的叶叶膜增生症的结果通过积极监测或立即手术来管理
Lynn K Han1, Joyce Lee1, Katerina Dodelzon2
1Weill Cornell Medicine, New York-Presbyterian Hospital, New York, New York, USA.
World journal of surgery
|April 1, 2024
概括
通过针芯活检诊断出非典型的叶片状增生症 (ALH),其癌症升级率较低. 积极监测是ALH的一个有利选择,手术只适用于进展的病变.
科学领域:
- 乳房成像和病理学
- 手术瘤学手术瘤学
- 放射学 放射学是指放射学
背景情况:
- 由于对恶性瘤的担忧,非典型的叶片状增生症 (ALH) 经常被手术切除.
- 关于ALH在主动监测 (AS) 管理下的放射性结果的数据有限.
研究的目的:
- 评估手术切除ALH的升级率.
- 为了调查ALH与AS管理的X光学进展.
主要方法:
- 通过针芯活检 (NCB) 诊断的127个ALH病变的回顾性分析.
- 在活检后6个月内确定手术管理ALH的升级率.
- 通过AS队列的连续成像评估X光学进展.
主要成果:
- 立即切除ALH的侵袭性导管癌的升级率为2.1%.
- 在AS队伍中没有出现ALH病变,在平均22.5个月的随访期间,放射性进展.
- 在AS下,ALH病变稳定,消失或大小减小.
结论:
- 在NCB诊断的ALH中,恶性瘤的升级率很低.
- 积极监测是纯粹ALH的合适管理策略,在进展时使用手术.
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