Evans W P
Charles A. Sammons Cancer Center, Baylor University Medical Center, Dallas, Texas.
Curr Opin Radiol. 1992 Oct;4(5):130-8.
Interest in fine-needle aspiration cytology (FNA) and core biopsy of nonpalpable breast lesions as an alternative to surgical biopsy has increased during the past year. The most accurate results have been reported with large-core needle biopsy using a dedicated prone stereotactic unit and stereotactic FNA biopsy obtained with an onsite cytopathologist determining sample adequacy. Ultrasound-guided needle biopsy using either FNA or core is another important technique. Questions remain concerning 1) the accuracy of FNA and core compared to surgical biopsy; 2) the efficacy of needle guidance by a mammographic add-on upright unit, dedicated prone table, or ultrasound; and 3) the lesions best suited for various biopsy techniques. Currently these nonsurgical biopsy methods are most appropriately used in conjunction with mammographic-histologic or cytologic correlation and a careful clinical management plan.
在过去一年中，将细针穿刺抽吸活检（FNA）及不可触及乳腺病变的粗针活检作为手术活检的替代方法的关注度有所增加。使用专用俯卧立体定位装置进行的粗针活检以及由现场细胞病理学家确定样本充足性的立体定位FNA活检报告了最准确的结果。使用FNA或粗针的超声引导针活检是另一项重要技术。关于以下方面仍存在问题：1）FNA和粗针活检与手术活检相比的准确性；2）乳腺摄影附加直立装置、专用俯卧台或超声引导针的效果；3）最适合各种活检技术的病变。目前，这些非手术活检方法最适合与乳腺摄影-组织学或细胞学相关性以及仔细的临床管理计划结合使用。
