Raza Sughra, Chikarmane Sona A, Gombos Eva C, Georgian-Smith Dianne, Frost Elisabeth P
Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Semin Ultrasound CT MR. 2018 Feb;39(1):80-97. doi: 10.1053/j.sult.2017.08.006. Epub 2017 Aug 24.
Breast cancer is an increasing challenge in developed and limited resource areas of the world. Early detection of breast cancer offers the best chance for optimal care and best outcomes. A critical step in early detection is to obtain efficient and accurate tissue diagnoses. Although image-guided core needle breast biopsies are usually straightforward for experienced breast imagers, there are some not uncommon scenarios that present particular challenges. In this review article we will discuss these difficult situations and offer our tried and true methods to ensure safe and successful biopsies, while using stereotactic, ultrasound, and MRI guidance.
乳腺癌对世界上发达地区和资源有限地区来说都是一项日益严峻的挑战。早期发现乳腺癌为获得最佳治疗和最佳预后提供了最好的机会。早期发现的关键一步是获得高效且准确的组织诊断。尽管对于经验丰富的乳腺影像专家而言，影像引导下的乳腺粗针活检通常较为简单，但仍存在一些并不罕见的特殊情况带来了特殊挑战。在这篇综述文章中，我们将讨论这些困难情况，并提供我们屡试不爽的方法，以确保在使用立体定位、超声和磁共振成像引导时活检的安全与成功。
