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[在获取乳腺切除活检前的标记技术和超声引导下的乳腺造影]

[Marking techniques and ultrasound guided mastografía prior to obtaining biopsy breast excisional].

作者信息

Navari González Faride, Ortíz de Iturbide María Cecilia, Zúñiga Lara Daniel Silveiro

机构信息

Facultad Mexicana de Medicina, Universidad La Salle.

出版信息

Ginecol Obstet Mex. 2009 Jun;77(6):261-9.

PMID:19681366
Abstract

BACKGROUND

Breast cancer is the most common gynecologic malignancy worldwide. Localization under ultrasound guidance or mammography prior to biopsy is one of the procedures used for diagnosis of subclinical malignant or premalignant lesions.

OBJECTIVE

To describe techniques for localization by mammography or ultrasound at our institution, prior to excisional breast biopsy.

MATERIAL AND METHODS

Localization under ultrasound guidance or mammography from July 1 to December 31, 2008 at the HospitalAngeles del Pedregal. An analysis of the category BIRADS, histopathologic results, the imaging procedure and the surgical approach.

RESULTS

We made 78 procedures. 56% under mammography guidance and 44% by ultrasound. 23% of biopsies with histopathological result of malignancy and 77% were benign, the outcome depended on the category of BIRADS granted. Success depends on the technique of covering the lesion in its entirety and was 100% in our study.

CONCLUSIONS

Localization of nonpalpable lesions of the breast remains a useful procedure for diagnosis of suspicious lesions. The choice of the imaging technique depends on the characteristics of the lesion under study.

摘要

背景

乳腺癌是全球最常见的妇科恶性肿瘤。活检前在超声引导或乳腺X线摄影下进行定位是用于诊断亚临床恶性或癌前病变的程序之一。

目的

描述我院在乳腺切除活检前通过乳腺X线摄影或超声进行定位的技术。

材料与方法

2008年7月1日至12月31日在佩德雷加尔天使医院进行超声引导或乳腺X线摄影下的定位。对BIRADS分类、组织病理学结果、成像程序和手术方法进行分析。

结果

我们进行了78例手术。56%在乳腺X线摄影引导下进行,44%通过超声进行。23%的活检组织病理学结果为恶性,77%为良性,结果取决于所给予的BIRADS分类。成功率取决于完全覆盖病变的技术,在我们的研究中成功率为100%。

结论

乳腺不可触及病变的定位仍然是诊断可疑病变的有用程序。成像技术的选择取决于所研究病变的特征。

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Ginecol Obstet Mex. 2009 Jun;77(6):261-9.
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