确定患者最有可能从常规的术后乳房造影中受益 乳房保护手术后的患者
Naama Hermann1,2, Renata Faermann1,3, Keren Grinin1,4
1School of Medicine, Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.
乳房保护手术 (BCS) 后的常规术后乳房显微镜 (RPM) 对年轻患者 (≤50岁) 和患有广泛的手术前化患者最有益. 定制RPM使用可以提高诊断效率,减少干预.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 乳房成像 乳房成像
背景情况:
- 在乳房保护手术 (BCS) 后,常规的术后乳房显微镜 (RPM) 用于化,以检测残留的恶性瘤.
- 临床实用性和RPM的最佳应用仍然不确定.
研究的目的:
- 为了评估RPMs在被诊断为患有乳腺恶性瘤的患者的好处,由于BCS后的化.
主要方法:
- 对218名患者进行回顾性队列研究,这些患者在BCS后接受了恶性化的RPM (2018-2022).
- 排除标准包括积极的外科边缘或临床指示的成像.
- 分析成像发现,病理和临床特征,以确定与残留恶性瘤相关的因素.
主要成果:
- 在218名RPM患者中的9名患者 (4%) 确认了残留恶性瘤.
- 疑似残留化的积极预测值为41%.
- 年龄较小 (≤50岁) 和广泛的手术前结与残留恶性瘤独立相关.
结论:
- 在50岁或更年轻的患者和患有大量手术前化的患者中,RPMs的益处更大.
- 将RPM的使用量身定制为特定的患者子组可以提高诊断效率.
- 优化RPM应用可能会减少乳腺癌管理中不必要的干预.
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