Tardivon A, Meunier M, El Khoury C, Thibault F
Service de Radiologie, Institut Curie, 26 rue d'Ulm, 75248 Paris Cedex 05.
J Radiol. 2003 Apr;84(4 Pt 1):381-6.
The increasing number of nonpalpable breast lesions found at screening mammography has induced the development of percutaneous imaging-guided procedures to reduce the number of surgical biopsies. After a description of the indications (classification of the American College of Radiology), the different types of sampling procedures (fine needle aspiration, core and large-core biopsies) will be described and the material used also. Depending on the type of breast lesions (mass, clustered microcalcifications), ultrasound--guided and stereotactic--guided biopsies will be explained. Clear information to the patients, efficient quality control and multidisciplinary approach are mandatory for the success of these percutaneous diagnostic procedures.
乳腺钼靶筛查中发现的不可触及乳腺病变数量不断增加，促使了经皮影像引导操作的发展，以减少手术活检的数量。在介绍了适应症（美国放射学会的分类）后，将描述不同类型的取样程序（细针穿刺抽吸、粗针和大芯针活检）以及所使用的材料。根据乳腺病变的类型（肿块、簇状微小钙化），将解释超声引导和立体定向引导活检。为使这些经皮诊断程序取得成功，向患者提供清晰信息、进行有效的质量控制以及采取多学科方法是必不可少的。
