O'Laoidhe R, Geraghty J G, Coveney E C, McDermott E W, Hourihane J B, McCabe M, O'Higgins N J
Breast Institute, St Vincent's Hospital, Dublin.
Ir Med J. 1992 Jun;85(2):70-2.
Refinements in mammography have led to an increased number of needle localised breast biopsies for impalpable breast lesions. This paper review 139 needle guided biopsies from June 1986 to December 1990 in 132 patients. Forty four patients (32%) biopsied had malignant lesions the vast majority (91%) of which were reported as either non-invasive or invasive less than 2 cm in diameter. Fourteen patients in this group had ductal carcinoma in-situ. When compared with 100 consecutive palpable breast carcinomas during the same period, needle localised biopsies had a higher proportion of non-invasive lesions and fewer were associated with lymph node involvement. Needle guided breast biopsy detects carcinoma at an earlier stage and may reduce morbidity and mortality from breast cancer.
乳房X线摄影技术的改进使得针对不可触及的乳腺病变进行针定位乳腺活检的数量有所增加。本文回顾了1986年6月至1990年12月期间132例患者的139例针引导活检病例。44例（32%）接受活检的患者患有恶性病变，其中绝大多数（91%）被报告为非浸润性或直径小于2厘米的浸润性病变。该组中有14例患者患有导管原位癌。与同期连续的100例可触及乳腺癌相比，针定位活检的非浸润性病变比例更高，且与淋巴结受累相关的病例更少。针引导乳腺活检能在更早阶段检测出癌症，并可能降低乳腺癌的发病率和死亡率。
