Bouzaiene H, Mchala L, BenHassouna J, Bouzid T, Chebbi A, Chargui R, Dhieb T, Boussen H, Khomsi F, Hechiche M, Gamoudi A, Rahal K
Service de radiodiagnostic, Institut Salah Azaiez.
Tunis Med. 2009 Jul;87(7):454-7.
Evaluation of surgical biopsy for mammary microcalcifications, in Tunisian patients according to the American College of Radiology's recommandations (ACR).
[corrected] 100 patients treated in Salah Azaiez Institute from January 2005 to December 2006, who underwent surgical biopsy for breast microcalcifications The diagnosis was based on mammography associated in 60% of the cases, to ultra-sonography. We correlated biopsies results to ACR classification.
123 surgical biopsies are related to ACR 3 lesions in 72 cases (58.5%) ACR 4 in 39 cases (32%) and ACR 5 in 14 case (11.5%). The histological examination showed malignant lesions in 4 cas/72 ACR3 (5.5%), 19/39 ACR4 (48.7%) and 10 among the ACR5 (71.4%).
Our preliminary study introduces a diagnostic approach of mammary microcalcifications, that are usually infra-clinic lesions, in a general context of breast tumors detected with an average size of more than 3 cm.
根据美国放射学会（ACR）的建议，对突尼斯患者乳腺微钙化的手术活检进行评估。
2005年1月至2006年12月在萨拉赫·阿扎耶兹研究所接受治疗的100例患者，因乳腺微钙化接受了手术活检。诊断基于60%的病例中联合使用的乳腺X线摄影和超声检查。我们将活检结果与ACR分类进行了关联。
123例手术活检与ACR 3级病变相关，其中72例（58.5%），ACR 4级39例（32%），ACR 5级14例（11.5%）。组织学检查显示，ACR 3级中的4例（5.5%）、ACR 4级中的19例（48.7%）以及ACR 5级中的10例（71.4%）为恶性病变。
我们的初步研究引入了一种乳腺微钙化的诊断方法，乳腺微钙化通常是临床下病变，在平均大小超过3厘米的乳腺肿瘤的总体背景下进行检测。
