Ernst R, Weber A, Bauer K H, Friemann J, Zumtobel V
Chirurgische Klinik, Ruhr-Universität Bochum.
Zentralbl Chir. 1990;115(15):963-75.
127 cases of breast carcinoma were examined in a prospective study. By means of preoperative ultrasonography the staging following the pTNM-system validates the tumor size in 85.5% and the lymph node involvement in 77.2%. Multicentric-multifocal carcinomas were diagnosed by ultrasonography in 20 of 29 cases, merely 9 of 29 by mammography. Ultrasonography of specimen is recommended in cases of negative clinical findings and positive ultrasound examination to verify tumour excision. In addition to clinical exploration and mammography the ultrasonography of the breast obtains a diagnostic significance for planning a conservative management of breast cancer.
对127例乳腺癌患者进行了一项前瞻性研究。通过术前超声检查，按照pTNM系统进行的分期在85.5%的病例中验证了肿瘤大小，在77.2%的病例中验证了淋巴结受累情况。在29例病例中，超声检查诊断出20例多中心多灶性癌，而乳腺钼靶检查仅诊断出9例。对于临床检查结果为阴性但超声检查为阳性的病例，建议进行标本超声检查以核实肿瘤切除情况。除了临床检查和乳腺钼靶检查外，乳腺超声检查对于规划乳腺癌的保守治疗具有诊断意义。
