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Gesche Schultek¹, Bernd Gerber², Steffi Hartmann²

¹Breast Care Unit, Department of Obstetrics and Gynecology, University of Rostock, Germany; Department of Diagnostic and Interventional Radiology, Klinikum Suedstadt Rostock, Germany.

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

|August 20, 2025

概括

在立体真空辅助乳房活检 (VABB) 后的剪片迁移是常见的. 然而,显著的剪贴迁移 (≥10毫米) 很少影响后续手术,而导线定位仍然是可行的.

科学领域:

放射学和成像学
乳腺外科手术
癌症学

背景情况:

立体真空辅助乳房活检 (VABB) 是非可触摸乳房病变的关键诊断工具.
剖析后的剪贴是定位病变的标准,但可以发生剪贴迁移.

研究的目的:

确定影响VABB后片迁移的因素.
评估片迁移对后续手术成功的影响.

主要方法:

切口后乳房影像的回顾性分析,以评估片迁移 (≥10毫米与<10毫米).
统计分析以确定与剪贴迁移相关的因素,包括乳腺密度,剪贴类型,出血,沿 z 轴的剪贴迁移和乳腺厚度.

主要成果:

在20. 5%的患者中观察到≥10 mm的剪片迁移.
显著的剪贴迁移与沿着接入路径 (z轴) 和较低乳腺厚度的迁移有关.
乳腺密度,片类型和出血没有显著影响片迁移.
在33. 3%的病例中进行了手术,其中只有7例涉及片迁移≥10 mm.

结论:

在VABB之后立即发生剪片迁移是经常发生的.
尽管转移很常见,但显著的剪贴位移 (≥10毫米) 对手术规划和执行的影响很小.
由于残留的微化,导线局部化对于侵袭前和侵袭性病变仍然有效,即使有剪贴迁移.

关键词:

乳腺保护手术剪片迁移乳房检查真空辅助乳房活检

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