摘要
目的:探讨超声引导下粗针活检对乳腺小肿块的诊断价值。方法:采用Bard可调式自动活检枪,18G切割活检针,实时彩色超声监视,每个病灶取材2～3次。结果:132例患者共70例获手术病理,其中1例穿刺失败,病理证实乳腺癌18例、叶状囊肉瘤1例、良性病变50例,超声引导下粗针活检诊断小乳腺癌的特异度和灵敏度分别为100%和89.5%。结论:超声引导下粗针活检是一种特异度和灵敏度均较高的乳腺小肿块术前诊断方法。
Objective To investigate the clinical value of core needle biopsy guided by ultrasonography in diagnosis of small breast mass.Methods Two to three biopsy samples were obtained for each lesion with Bard automatic biopsy gun and 18G coaxial cutting needle under real-time monitoring of ultrasonography.Results Biopsy specimens were obtained from 132 lesions of 132 patients.Of them 70 lesions had surgical specimen pathology confirmation.One case failed because of technology failure.Among the 69 cases could be analyzed,18 cases were breast carcinoma,1 case was cystosarcoma phyllodes,and 50 cases were benign lesions.The specificity and sensitivity of core needle biopsy guided by ultrasonography for diagnosing small breast cancer were 100% and 89.5%,respectively.Conclusions Ultrasound-guided core needle biopsy is a sensitive and highly specific method for the diagnosis of small breast mass.
出处
《诊断学理论与实践》
2012年第1期67-70,共4页
Journal of Diagnostics Concepts & Practice
关键词
超声引导下粗针活检
乳腺小肿块
组织学诊断
Ultrasound-guided core needle biopsy
Small breast mass
Histological diagnosis
