Vecherko V N, Zorina S V, Konoplia P P, Shkarbun L I, Malygina O V
Khirurgiia (Mosk). 1992 Mar(3):24-6.
The authors studied the results of sonography of the breast and zones of regional lymph drainage in 15,973 patients. In 154 of them puncture aspiration biopsy was conducted under ultrasonic control. Breast carcinoma was found in 23 patients, in 2 of them the tumor was not palpable. The examination was performed on the Aloka-SSD-630 apparatus. The sonographic picture was that of a structure with diminished echogenic properties, irregular notched contours, and non-uniform echo signals from the internal structures. Echography with puncture biopsy made it also possible to reveal the presence of nonpalpable axillary metastatic lymph nodes and to establish the precise differential diagnosis of benign and malignant intraductal tumors. The method of puncture aspiration biopsy under control of ultrasonic examination is highly effective in the differential diagnosis of breast carcinoma.
作者研究了15973例患者的乳房超声检查结果及区域淋巴引流区情况。其中154例在超声引导下进行了穿刺抽吸活检。发现23例患有乳腺癌，其中2例肿瘤触诊不到。检查使用的是Aloka - SSD - 630仪器。超声图像显示为一个回声特性减弱、轮廓不规则有切迹且内部结构回声信号不均匀的结构。超声引导下穿刺活检还能够发现触诊不到的腋窝转移性淋巴结，并对导管内良恶性肿瘤进行精确的鉴别诊断。超声检查引导下的穿刺抽吸活检方法在乳腺癌的鉴别诊断中非常有效。
