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良性乳腺活检后是否需要进行6个月的放射影像学检查?文献综述与多中心经验

Is 6-Month Radiologic Imaging Necessary after Benign Breast Biopsy? Review of Literature and Multicenter Experience.

作者信息

Mateo Alina M, Frankel Arthur M

机构信息

Department of Surgery, Abington Memorial Hospital, Abington, Pennsylvania, USA.

出版信息

Am Surg. 2015 Dec;81(12):1224-7.

PMID:26736157
Abstract

A retrospective study of 786 patients was conducted to determine the necessity of a 6-month interval study after a benign stereotactic or ultrasound-guided breast biopsy. These results were compared with those of other centers. After reviewing the data, we found few patients developed cancer after their original biopsy, and for those that did, the 6-month study did not contribute to an earlier diagnosis. Those short-term interval radiologic studies that were interpreted as concerning were all benign when biopsied. A 6-month study contributes to higher costs of health care and can be inconvenient, painful, and anxiety producing to patients. Short-interval follow-up was found to be unnecessary.

摘要

对786例患者进行了一项回顾性研究,以确定在进行良性立体定向或超声引导下乳腺活检后间隔6个月进行检查的必要性。将这些结果与其他中心的结果进行了比较。在审查数据后,我们发现很少有患者在初次活检后发生癌症,而对于那些发生癌症的患者,6个月的检查并未有助于更早的诊断。那些被解读为可疑的短期间隔放射学检查在活检时均为良性。6个月的检查会导致更高的医疗保健成本,并且可能给患者带来不便、痛苦和焦虑。发现短间隔随访并无必要。

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