针对乳头病变的超声指导核心针活检的可行性和准确性:试点研究
Sophia R O'Brien1, Damien Medrano1, Julia Birnbaum1
1Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Journal of breast imaging
|August 7, 2024
概括
乳头的超声指导核心活检 (US-CBN) 提供了一种微创方法来诊断可疑的乳头异常. 这项试点研究表明,US-CBN是有效的,避免手术和保护乳头完整性,22%的病例显示恶性瘤.
科学领域:
- 乳腺成像和干预
- 最少侵入性的诊断程序是最少侵入性的诊断程序.
- 放射学和瘤成像学成像学
背景情况:
- 乳头 - 腹膜综合体 (NAC) 发现通常需要手术活检,因为标准成像指导的局限性.
- 乳头的超声指导核心活检 (US-CBN) 是一种新兴的技术,报道有限.
研究的目的:
- 评估美国指导的乳头核心活检 (US-CBN) 在诊断可疑的乳头异常时的可行性和结果.
- 报告在一个学术乳腺成像中心近3年的试点经验.
主要方法:
- 对US-CBN.患者人口统计,成像,程序数据,病理学和结果的回顾性审查.
- 评估活检与成像发现和手术并发症的一致性.
主要成果:
- 九名女性患者接受了US-CBN,以检查包括MRI增强,化和超声波质量的异常.
- 所有活检结果与超声波发现相关;22% (2/9) 的病例被诊断为恶性瘤.
- 手术耐受性很好,没有报告出现并发症.
结论:
- 乳头的超声指导核心活检 (US-CBN) 是一种可行的方法,用于确定可疑乳头病变的确诊.
- 美国CBN可以避免手术干预,保持乳头完整性,并有效检测恶性瘤.
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