Chelli D, Dimassi K, Salem A, Driss M, Zaanouni E, Zouaoui B, Sfar E, Ben Aissa R, Chelli H, Chennoufi B M, Boussen H
Service A du centre de maternité et de néonatologie de Tunis.
Tunis Med. 2009 Jul;87(7):475-9.
To report clinical, radiological and histological characteristics of the infraclinical breast lesions patients recruited via the large scale mammography breast cancer screening of l'Ariana state in Tunisia.
Retrospective study over a period of 2 years. The recruitment of patients made on the occasion of the program of breast cancer screening.
During this period, 22 patients in our unity had had a surgical excision after wire localization. Ten patients were recruited by means of systematic breast cancer screening. In these cases, the mammographic findings were classified B.I.R.A.D.S 4 in 7 cases and BIRADS type 5 in 3 cases. Definitive histology concluded to benign disease in 4 cases and malignancy 6 cases. This collaboration enables the diagnosis an invasive ductal carcinoma in three cases.
The surgical excision after wire localization for non palpable breast lesions allows diagnosis of high-risk benign lesions and low-stage breast cancer. It is a reliable technique which indications have to be based on clinical and radiological strict criteria. This procedure is at present, and in developed countries, widely outstripped with the stereotactic core needle biopsy.
报告通过突尼斯阿丽亚娜省大规模乳腺钼靶乳腺癌筛查招募的亚临床乳腺病变患者的临床、放射学和组织学特征。
为期2年的回顾性研究。患者招募于乳腺癌筛查项目期间。
在此期间，我们科室有22例患者在金属丝定位后接受了手术切除。10例患者通过系统性乳腺癌筛查招募。在这些病例中，乳腺钼靶检查结果7例为B.I.R.A.D.S 4类，3例为BIRADS 5类。最终组织学检查结果为良性疾病4例，恶性肿瘤6例。这种合作使得3例患者诊断为浸润性导管癌。
对不可触及的乳腺病变进行金属丝定位后手术切除，有助于诊断高危良性病变和低分期乳腺癌。这是一种可靠的技术，其适应证必须基于严格的临床和放射学标准。目前，在发达国家，这种方法已被立体定向空心针活检广泛取代。
