Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
J Ultrasound Med. 2021 Jul;40(7):1427-1443. doi: 10.1002/jum.15517. Epub 2020 Sep 30.
Ultrasound-guided breast biopsies can be challenging to perform, especially when the target is adjacent to the nipple, skin, or implant or when the target is small and in very posterior, dense fibroglandular tissue. Oftentimes, a slightly modified approach can result in a diagnostic biopsy specimen with minimal complications. After a brief review of basic techniques for ultrasound-guided breast biopsies that includes a review of conventional breast biopsy devices, a presentation of procedural modifications and techniques to consider for more challenging cases is described. In particular, novel open-trough and tandem-needle techniques are detailed. Several cases using these techniques are then presented.
超声引导下乳腺活检具有一定挑战性，尤其是当目标位于乳头、皮肤或植入物附近，或者当目标较小且位于非常靠后的致密纤维腺体组织中时。通常，稍微修改一下方法，就可以获得最小并发症的诊断性活检标本。在简要回顾了包括传统乳腺活检设备在内的超声引导下乳腺活检的基本技术之后，本文描述了更具挑战性病例中需要考虑的操作修改和技术。特别是，详细介绍了新型开放式和串联式针技术。然后介绍了使用这些技术的几个病例。
