Vargas Hernan I, Vargas M Perla, Gonzalez Katherine, Burla Melissa, Khalkhali Iraj
Department of Surgery, Harbor-UCLA Medical Center, Torrance, California, USA.
Breast J. 2006 Sep-Oct;12(5 Suppl 2):S218-22. doi: 10.1111/j.1075-122X.2006.00325.x.
A palpable breast mass is a common reason for surgical consultation. Our goal was to determine whether ultrasound-guided vacuum-assisted core biopsy (US-VACB) is safe and effective in completely removing presumed benign palpable breast masses. We conducted a cohort study of 201 consecutive patients with presumed benign palpable masses who underwent removal with US-VACB. The main outcome measured was the successful removal of palpable masses. Palpable masses were successfully removed with US-VACB in 99% of cases; 2% were cancer and 7.5% were atypical ductal hyperplasia or phyllodes tumor. Two clinical recurrences representing a seroma were seen on follow-up. US-VACB is safe and effective in the initial diagnosis and management of presumed benign palpable breast masses. It provides the benefits of percutaneous biopsy and the palpable abnormality no longer remains.
可触及的乳腺肿块是进行外科会诊的常见原因。我们的目标是确定超声引导下真空辅助核心活检（US-VACB）在完全切除疑似良性可触及乳腺肿块方面是否安全有效。我们对201例接受US-VACB切除的疑似良性可触及肿块患者进行了一项队列研究。主要测量结果是可触及肿块的成功切除。在99%的病例中，US-VACB成功切除了可触及的肿块；2%为癌症，7.5%为非典型导管增生或叶状肿瘤。随访中发现两例临床复发，表现为血清肿。US-VACB在疑似良性可触及乳腺肿块的初步诊断和处理中是安全有效的。它具有经皮活检的优点，且可触及的异常不再存在。
