Schwartz G F, Goldberg B B, Rifkin M D, D'Orazio S E
Department of Surgery, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania 19107.
Ultrasound Med Biol. 1988;14 Suppl 1:23-5. doi: 10.1016/0301-5629(88)90043-9.
Preoperative ultrasound was used as an alternative to x-ray mammography to localize 92 breast lesions encountered in 82 patients. Recommendation for biopsy was made based upon 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 anechoic mass. Sonomammography was performed in the operating room, just prior to anticipated biopsy, using a hand-held, high resolution scanner. When the suspicious area was imaged, and its precise location noted, the breast was then prepped and draped in the usual manner, and biopsy 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, ultrasound may be used instead of, and as well as, x-ray needle localization for the precise excision of non-palpable breast masses and areas of parenchymal distortion. Microcalcifications must still be addressed by x-ray mammography and needle localization with specimen radiography.
术前超声被用作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为实性或无回声肿块时，建议进行活检。超声乳腺造影在手术室进行，就在预期活检之前，使用手持式高分辨率扫描仪。当可疑区域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。如果在切开乳房并探查后可疑区域不易定位，则将换能器“穿上手术衣”并直接用于伤口中以帮助找到病变。该技术已被证明是有效且准确的。在选定的患者中，超声可用于替代X线针定位，也可与X线针定位一起用于精确切除不可触及的乳腺肿块和实质扭曲区域。微钙化仍必须通过X线乳腺摄影和带标本射线照相的针定位来处理。
