侧卧式X线立体定位导丝引导术在乳腺触诊阴性病变的临床应用

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Abstract Objective: To investigate the application value of X-ray stereotactic needle localized biopsy in the lateral decubitus position for nonpalpable breast lesions. Methods: Stereotactic mammography needle localized biopsies were performed on 118 cases with clinical nonpalpable breast lesions. After localization of lateral decubitus position, all cases received surgical resection according to the steel wire implantation left in the lesions and got pathological diagnosis. Results: The locations were successful once time in 118 cases, the success rate was 100%. The distance between the tip of the guide wire and the target of lesion was measured, and the satisfying positioning results were obtained in 111 cases(94%). After the lesion specimen radiography, the lesions removal rate was 98.30%. Postoperative pathology confirmed 45 cases of malignant lesions(38.14%), among which 8 cases were carcinoma in situ, and 73 cases of benign lesions(61.86%). Conclusion: X-ray stereotactic needle localized biopsy in the lateral decubitus position can accurately guide the surgical excision of nonpalpable breast minimal lesions and exactly diagnose lesions, which is helpful to improve the detection rate of early breast cancer.

Key words： Breast diseases Radiography

Received: 04 May 2015

PACS:	Ｒ655.8
	Ｒ737.9
	Ｒ814.41

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	Articles by authors
	GONG Liu-yan
	LIU Feng-mei
	QIU Juan
	LIANG Yun
	WEI Jin-xiu

Cite this article:

GONG Liu-yan,LIU Feng-mei,QIU Juan, et al. Clinical application of X-ray stereotactic needle localized biopsy guided in the lateral decubitus position for non-palpable breast lesions[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2015, 26(12): 864-868.

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http://www.jccmi.com.cn/EN/ OR http://www.jccmi.com.cn/EN/Y2015/V26/I12/864

[1]成方，赵慧娟，高维仁． X线三维立体定位术诊断临床检查阴性乳腺病变[J]．中国医学影像技术，2010，26（8）：1492-1494．
[2]American College of Radiology. Breast imaging reporting and data system(BI-RADS)[M]. 4th ed. Reston, VA: American College of Radiology(ACR), 2003: 1-50.
[3]鲍润贤. 中华影像医学：乳腺卷[M]. 北京：人民卫生出版社，2002：40.
[4]王建丰，何之彦，项富海，等. 导丝定位切除活检诊断不能触及的乳腺癌[J]. 临床外科杂志，2010，18（10）：671-672.
[5]Uematsu T, Kasami M. The use of positive core wash cytology to estimate potential risk of needle tract seeding of breast cancer: direetional vacuum-assisted biopsy versus automated core needle biopsy[J]. Breast Cancer, 2010, 17(1): 61-67.
[6]Ball CG, Butchart M, MaeFarlane JK． Effect on biopsy technique of the breast imaging reporting and data system(BI-RADS) for non-palpable mammographic abnormalities[J]． Can J Surg, 2002, 45(4): 259-263．
[7]冀焕梅，梁秀芬，闫斌，等. 乳腺X线立体定位活检的临床应用及适应症选择[J]. 实用放射学杂志，2013，29（5）：764-767.
[8]汝琦，王清，丁媛，等. 钼靶X线立体定位和超声引导定位在切除乳腺隐匿性病灶中的对比研究[J]. 中国临床研究，2011，24（8）：696-697.
[9]刘万花. 乳腺疾病影像诊断学[M]. 南京：江苏科学技术出版社，2011：115-117.
[10]钱朝霞，宋富珍，刘嵘，等. 立体定位导丝引导切检在临床未触及肿块的乳腺钼靶X线片内可疑恶性钙化灶中的应用[J]. 介入放射学杂志，2010，19（10）：780-783.
[11]于代友，刘秀梅，陈雯，等. 不可触及乳腺病变立体定位导丝置入的临床应用[J]. 中国中西医结合影像学杂志，2013，11（3）：318-320.
[12]薛晓蕾，叶兆祥，赵玉梅，等. 数字化乳腺X线导丝定位技术在不可触及乳腺病变的应用[J]. 中国肿瘤临床，2011，38（6）：339-341.
[13]Esserman LE, Cura MA, DaCosta D． Recegnizing pitfalls in early and late migration of clip markers after imaging-guided directional vacuum-assisted biopsy[J]． Radiographics, 2004, 24(1): 147-156．