活检时乳腺病变的定位程序 - - 哪些患者会受益?
Sophie Carr1, Maisa Samiee2, Elaine McKevitt3
1Division of General Surgery, Department of Surgery, Faculty of Medicine, University of British Columbia, 2775 Laurel Street, 11th Floor, Vancouver, BC, V5Z 1M9, Canada.
American journal of surgery
|February 8, 2025
概括
前置局部化种子对接受乳腺活检和乳腺癌手术的小部分患者有益. 需要进一步的研究来确定哪些患者会从这种方法中获益最多.
科学领域:
- 乳腺瘤学 乳腺瘤学
- 最少侵入性手术是最少侵入性的手术.
- 放射学指导 放射学指导 放射学指导
背景情况:
- 非触摸性乳腺病变需要多步骤的诊断和治疗途径.
- 在初始活检期间前部局部化种子放置被认为可以减少患者的程序负担.
- 预先局部化的临床益处尚不清楚.
研究的目的:
- 确定我们机构中可能受益于前期本地化治疗的患者人数.
- 描述一个合适的目标人群,以便提前定位.
主要方法:
- 在一个大容量的乳房中心进行了回顾性横截面研究.
- 2018年接受核心针活检 (CNB) 和/或乳腺癌手术的患者的评估.
- 对需要放射性局部化后CNB和乳腺癌手术的患者进行评估,以模拟种子使用.
主要成果:
- 分析了314个CNB和634个乳腺癌手术.
- 19.1%的CNB患者需要局部化治疗.
- 47.8%的乳腺保护手术需要局部化.
结论:
- 只有少数接受乳腺活检的患者可以从前期局部化中受益.
- 少数乳腺癌手术需要局部化.
- 需要进一步对患者群体进行表征,以优化管理途径.
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