Ahovuo J, Kinnunen J, von Smitten K, Edgren J
Fourth Department of Surgery, University Central Hospital, Helsinki, Finland.
Ann Chir Gynaecol. 1990;79(2):82-4.
The purpose of this study was to review the results of mammographic wire-guided biopsies of nonpalpable breast lesions and the features of the lesions in the preoperative examinations. Sixty women, mean age 50.2 years (range 31 to 74), underwent a wire-guided biopsy of the lesion. Twenty-nine patients had preoperative fine needle aspiration of the lesion. The radiographic diagnosis was correct in 33 patients (55%); 25 had breast cancer and 8 patients had a benign lesion. In 9 of the 14 patients with clustered microcalcifications in mammography and in 13 of the 15 patients with a mass noted in mammography, the cytological examination was correct. Nonpalpable mammographic masses with regular borders and normal fine needle aspiration examination do not require biopsy. In malignant mammographic appearances associated with a normal fine needle aspiration examination, biopsy of the lesion should always be done.
本研究的目的是回顾乳腺钼靶引导下对不可触及乳腺病变进行活检的结果以及术前检查中病变的特征。60名女性，平均年龄50.2岁（范围31至74岁），接受了病变的钼靶引导下活检。29例患者术前对病变进行了细针穿刺抽吸。影像学诊断在33例患者中正确（55%）；25例为乳腺癌，8例为良性病变。在乳腺钼靶检查中有簇状微小钙化的14例患者中的9例以及乳腺钼靶检查中发现有肿块的15例患者中的13例，细胞学检查正确。边界规则且细针穿刺抽吸检查正常的不可触及的乳腺钼靶肿块不需要活检。在细针穿刺抽吸检查正常但乳腺钼靶表现为恶性的情况下，应始终对病变进行活检。
