Gallager H S
Am J Clin Pathol. 1975 Dec;64(6):749-55. doi: 10.1093/ajcp/64.6.749.
The development of mammography and that of breast specimen radiography, which have paralleled one another, are reviewed. The preparation of radiographs of breast specimens is obligatory when biopsy is performed for purely mammographic indications and when no palpable mass is present. Such cases are being encountered with increasing frequency because of the development of centers for breast cancer screening. Close collaboration among pathologists, radiologists and surgeons and precise attention to procedural detail are necessities wherever this situation arises. The application of specimen radiography as a routine to all breast specimens is regarded as an adjunct to gross examination. While useful, its yield of otherwise undetected occult carcinoma is low. Whether other advantages outweigh the cost appears to be a matter for individual decision. Investigative uses of breast specimen radiography have received little attention. Some possible applications are suggested.
回顾了乳腺X线摄影术与乳腺标本X线摄影术并行发展的情况。当因纯粹的乳腺X线摄影指征进行活检且未触及肿块时,乳腺标本X线片的制备是必要的。由于乳腺癌筛查中心的发展,这类病例越来越常见。无论何时出现这种情况,病理学家、放射科医生和外科医生之间的密切合作以及对操作细节的精确关注都是必要的。将标本X线摄影作为所有乳腺标本的常规检查被视为大体检查的辅助手段。虽然有用,但其发现隐匿性癌的检出率很低。其他优势是否超过成本似乎是个人决定的问题。乳腺标本X线摄影的研究用途很少受到关注。文中提出了一些可能的应用。