乳腺癌诊断性影像引导下粗针穿刺活检后针道种植的风险
Risk of needle-track seeding after diagnostic image-guided core needle biopsy in breast cancer.
作者信息
Knight Rebecca, Horiuchi Kent, Parker Steve H, Ratzer Erick R, Fenoglio Michael E
机构信息
Saint Joseph Hospital, Denver, Colorado, USA.
出版信息
JSLS. 2002 Jul-Sep;6(3):207-9.
OBJECTIVE
Image-guided core needle biopsy (IGCNB) is an accepted technique for sampling nonpalpable mammographically detected suspicious breast lesions. However, the concern for needle-track seeding in malignant lesions remains. An alternative to IGCNB is needle-localization breast biopsy (NLBB). No study has been done to compare the local recurrence rate of breast cancer after IGCNB versus NLBB.
METHODS
We have retrospectively reviewed the local recurrence of breast cancer in patients diagnosed by either IGCNB or NLBB who underwent breast-preserving treatment for their cancer between May 1990 and June 1995. The length of follow-up averaged 29.7 months.
RESULTS
Three hundred ninety-eight patients were diagnosed with breast cancer by IGCNB (297 patients) or NLBB (101 patients). All patients underwent breast-conserving surgery. Fifteen (3.77%) patients had a local recurrence: 11(3.70%) in the IGCNB group and 4 (3.96%) in the NLBB group. These recurrence rates are not statistically different.
CONCLUSION
Concerns for seeding of the needle track with cancer cells have made some surgeons wary of IGCNB. However, we did not find an increased rate of recurrence due to needle-track seeding, and IGCNB remains our procedure of choice for diagnosing mammographically detected suspicious breast lesions.
目的
影像引导下粗针穿刺活检（IGCNB）是一种用于对乳腺钼靶检查发现的不可触及的可疑乳腺病变进行取样的公认技术。然而，对于恶性病变中针道种植的担忧依然存在。针定位乳腺活检（NLBB）是IGCNB的一种替代方法。尚未有研究对IGCNB与NLBB术后乳腺癌的局部复发率进行比较。
方法
我们回顾性分析了1990年5月至1995年6月间因乳腺癌接受保乳治疗、通过IGCNB或NLBB诊断的患者中乳腺癌的局部复发情况。平均随访时间为29.7个月。
结果
398例患者通过IGCNB（297例）或NLBB（101例）被诊断为乳腺癌。所有患者均接受了保乳手术。15例（3.77%）患者出现局部复发：IGCNB组11例（3.70%），NLBB组4例（3.96%）。这些复发率在统计学上无差异。
结论
对针道癌细胞种植的担忧使一些外科医生对IGCNB持谨慎态度。然而，我们并未发现针道种植导致复发率增加，IGCNB仍然是我们诊断乳腺钼靶检查发现的可疑乳腺病变的首选方法。
Zotero 插件