Friedman Paul D, Sanders Linda M, Menendez Christine, Kalisher Lester, Petrillo Gina
Department of Radiology, Saint Barnabas Medical Center, 94 Old Short Hills Road, Livingston, NJ 07039, USA.
AJR Am J Roentgenol. 2003 Jan;180(1):275-80. doi: 10.2214/ajr.180.1.1800275.
The purpose of our report was to describe patients in whom calcifications in the breast that were unequivocally removed during stereotactic core biopsy using the Mammotome device were not detected on the initial specimen radiograph. The lost calcifications in each instance were subsequently found when the tubing and contents of the debris canister were strained through a nonadhering dressing and radiographed. Additional situations in which calcifications are not seen on the initial specimen radiograph are described and recommendations are made.
When vacuum-assisted core biopsy procedures are performed, it is important to be aware of the possibility that calcifications may be aspirated into the debris canister, thus compromising the accuracy of the histopathologic diagnosis. We recommend changing the tubing and the debris canister after each procedure and, in certain situations, sending the strained canister contents to pathology for evaluation.
我们报告的目的是描述那些在使用麦默通设备进行立体定位核心活检时明确被取出的乳腺钙化灶，在最初的标本射线照片上却未被检测到的患者情况。在每种情况下，当通过不粘连敷料过滤碎屑罐的管道及内容物并进行射线照相时，丢失的钙化灶随后被发现。本文还描述了在最初标本射线照片上未见到钙化灶的其他情况并给出了建议。
在进行真空辅助核心活检操作时，必须意识到钙化灶可能被吸入碎屑罐，从而影响组织病理学诊断准确性的可能性。我们建议每次操作后更换管道和碎屑罐，并且在某些情况下，将过滤后的罐内容物送去病理科进行评估。
