Baute P B, Thibodeau M E, Newstead G
Department of Surgery, Kent County Memorial Hospital, Warwick, Rhode Island 02886.
Surg Gynecol Obstet. 1992 Feb;174(2):93-6.
Our early experience and frustration with needle localization biopsy of nonpalpable lesions of the breast led us to develop a protocol to improve diagnostic accuracy and management of patients with mammograms read as suspicious for malignancy. In this context and as part of the program, surgical and radiologic consultation is required prior to the decision to proceed with biopsy. In this article, our experience with that protocol is summarized and mammographic description with pathological findings is correlated. In a series of 200 consecutive patients who underwent biopsies, we have achieved a positive rate of 37 per cent. Only 2 per cent of those lesions with round, oval or lobulated borders were malignant, while irregular or spiculated lesions were malignant in 69 per cent of instances. We conclude that careful adherence to this protocol and to radiologic principles of contour analysis can substantially increase the yield of needle localization biopsy.
我们在对乳腺不可触及病变进行针吸定位活检时的早期经验和遇到的挫折促使我们制定了一项方案，以提高对乳腺钼靶检查结果为可疑恶性病变患者的诊断准确性和治疗水平。在此背景下，作为该方案的一部分，在决定进行活检之前需要进行外科和放射学会诊。在本文中，我们总结了该方案的经验，并将乳腺钼靶描述与病理结果进行了对比。在连续200例接受活检的患者中，我们获得了37%的阳性率。边界为圆形、椭圆形或分叶状的病变中，只有2%为恶性，而边界不规则或有毛刺的病变在69%的情况下为恶性。我们得出结论，严格遵循该方案和轮廓分析的放射学原则可以大幅提高针吸定位活检的成功率。
