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评估超声引导下乳腺活检后的影像-病理一致性和不一致性。

Evaluating imaging-pathology concordance and discordance after ultrasound-guided breast biopsy.

作者信息

Park Vivian Youngjean, Kim Eun-Kyung, Moon Hee Jung, Yoon Jung Hyun, Kim Min Jung

机构信息

Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

出版信息

Ultrasonography. 2018 Apr;37(2):107-120. doi: 10.14366/usg.17049. Epub 2017 Aug 19.

DOI:10.14366/usg.17049
PMID:29169231
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5885481/
Abstract

Ultrasound (US)-guided breast biopsy has become the main method for diagnosing breast pathology, and it has a high diagnostic accuracy, approaching that of open surgical biopsy. However, methods for confirming adequate lesion retrieval after US-guided biopsy are relatively limited and false-negative results are unavoidable. Determining imaging-pathology concordance after US-guided biopsy is essential for validating the biopsy result and providing appropriate management. In this review article, we briefly present the results of US-guided breast biopsy; describe general aspects to consider when establishing imaging-pathology concordance; and review the various categories of imaging-pathology correlations and corresponding management strategies.

摘要

超声（US）引导下的乳腺活检已成为诊断乳腺病变的主要方法，其诊断准确性高，接近开放手术活检。然而，超声引导下活检后确认病变充分取材的方法相对有限，假阴性结果难以避免。确定超声引导下活检后的影像-病理一致性对于验证活检结果和提供恰当的治疗至关重要。在这篇综述文章中，我们简要介绍超声引导下乳腺活检的结果；描述建立影像-病理一致性时需考虑的一般方面；并综述影像-病理相关性的各类别及相应的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54c3/5885481/d164108586b5/usg-17049-f9.jpg
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