Schwartz G F, Goldberg B B, Rifkin M D, D'Orazio S E
Department of Surgery, Jefferson Medical College, Philadelphia, Pa.
Surgery. 1988 Nov;104(5):870-3.
Preoperative ultrasonography was used as an alternative to x-ray mammography to localize 92 breast lesions encountered in 82 patients. Recommendation for biopsy was made on the basis of the ultrasonographic finding of a nonpalpable mass or an area of architectural distortion, or in the presence of equivocal physical findings if sonomammography demonstrated a solid or an anechoic mass. Sonomammography was performed in the operating room, just before anticipated biopsy, with a hand-held high-resolution scanner. When the suspicious area was imaged and its precise location noted, the breast was then prepared and draped in the usual manner, and a biopsy was performed. If the suspicious area could not be easily localized after the incision was made and the breast explored, the transducer was "gowned" and used directly in the wound to help find the lesion. This technique has proven effective and accurate. In selected patients ultrasonography may be used as well as, or instead of, x-ray needle localization for the precise excision of nonpalpable breast lesions, excluding calcifications.
术前超声检查被用作X线乳腺摄影的替代方法，以定位82例患者中发现的92个乳腺病变。根据超声检查发现的不可触及肿块或结构扭曲区域，或在体格检查结果不明确但超声乳腺造影显示实性或无回声肿块的情况下，建议进行活检。超声乳腺造影在手术室进行，就在预期活检前，使用手持高分辨率扫描仪。当对可疑区域进行成像并记录其精确位置后，然后以常规方式准备和覆盖乳房，并进行活检。如果在切开乳房并进行探查后难以轻易定位可疑区域，则将换能器“穿上手术衣”并直接用于伤口以帮助找到病变。该技术已被证明有效且准确。在选定的患者中，超声检查可与X线针定位一起使用，或替代X线针定位，用于精确切除不可触及的乳腺病变，但不包括钙化灶。
