经皮内镜引导下经乳管镜对囊内肿瘤进行活检。
Percutaneous endoscopy-guided biopsy of an intracystic tumor with a mammary ductoscopy.
作者信息
Uchida Ken, Toriumi Yasuo, Kawase Kazumi, Tabei Isao, Yamashita Akinori, Nogi Hiroko
机构信息
Department of Breast and Endocrine Surgery, The Jikei University School of Medicine, Japan.
出版信息
Breast Cancer. 2007;14(2):215-8. doi: 10.2325/jbcs.906.
BACKGROUND
Intracystic abnormalities of the breast may result from debris, intracystic papilloma, or rarely breast cancer. Intracystic tumors cannot be diagnosed based on imaging examinations or fine needle aspiration alone, and therefore excisional biopsy must be performed. We have treated many cases who had nipple discharge with mammary ductoscopy since 1992, and we have used this method to diagnose intracystic tumors.
METHODS
An endoscope was inserted into the cyst percutaneously, and the intracystic tumor was biopsied using forceps.
RESULTS
Six intracystic tumors were biopsied with the endoscope. Four of six cases were cancer, and two were benign papillomas.
CONCLUSION
We were able to visualize and accurately biopsy intracystic tumors of the breast using mammary ductoscopy.
背景
乳腺囊内异常可能由碎屑、囊内乳头状瘤或罕见的乳腺癌引起。仅根据影像学检查或细针穿刺无法诊断囊内肿瘤，因此必须进行切除活检。自1992年以来，我们使用乳腺导管镜治疗了许多有乳头溢液的病例，并使用这种方法诊断囊内肿瘤。
方法
经皮将内窥镜插入囊肿，并用钳子对囊内肿瘤进行活检。
结果
用内窥镜对6例囊内肿瘤进行了活检。6例中有4例为癌症，2例为良性乳头状瘤。
结论
我们能够使用乳腺导管镜观察并准确活检乳腺囊内肿瘤。
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