Ramsey-Stewart G, Lauer C S
Royal Prince Alfred Medical Centre, Newton, NSW.
Med J Aust. 1992 Feb 17;156(4):244-6. doi: 10.5694/j.1326-5377.1992.tb139743.x.
To describe a method for accurate excision and exact histopathological diagnosis of impalpable breast lesions, considered suspicious of carcinoma, and detected on mammographic examination alone.
SETTING, PATIENTS AND INTERVENTIONS: Eight-five patients referred with a suspicious but impalpable mammographic lesion underwent preoperative radiological localisation followed by surgical excision biopsy. Specimen radiology with a radiolucent acrylic compression-grid specimen-evaluation device confirmed that the lesion had been excised. By use of the grid coordinates, exact histopathological examination of the radiological area of suspicion was carried out to provide a definitive pathological diagnosis.
Twenty-eight patients (33%) were found to have invasive carcinoma or extensive intraduct breast carcinoma requiring further surgical and adjuvant management. Nineteen of these patients (68%) had no axillary node metastases.
The use of an acrylic compression-grid specimen-evaluation device in the diagnosis of suspicious mammographic breast lesions facilitates confirmation of excision by specimen radiology, and expedites accurate histological examination of suspicious radiological lesions.
描述一种针对仅在乳腺钼靶检查中发现、疑似癌变但触诊不到的乳腺病变进行精确切除及准确组织病理学诊断的方法。
背景、患者及干预措施：85例因乳腺钼靶检查发现可疑但触诊不到的病变而转诊的患者，在术前接受了放射学定位，随后进行手术切除活检。使用可透射线的丙烯酸压迫网格标本评估装置进行标本放射学检查，确认病变已被切除。利用网格坐标，对放射学可疑区域进行精确的组织病理学检查，以提供明确的病理诊断。
28例患者（33%）被发现患有浸润性癌或广泛的导管内乳腺癌，需要进一步的手术及辅助治疗。其中19例患者（68%）无腋窝淋巴结转移。
在乳腺钼靶可疑病变的诊断中使用丙烯酸压迫网格标本评估装置，有助于通过标本放射学检查确认病变已被切除，并加快对可疑放射学病变进行准确的组织学检查。
