Department of Radiology, General Hospital of Tisco (The Sixth Hospital of Shanxi Medical University), Taiyuan, Shanxi, China.
J Xray Sci Technol. 2023;31(4):853-864. doi: 10.3233/XST-230039.
To explore the application value of digital tungsten-molybdenum double target three-dimensional positioning indwelling guide wire and guided surgical resection biopsy in the diagnosis of breast microcalcification.
A retrospective analysis of 168 patients with negative clinical palpation and molybdenum target X-ray examination found breast abnormalities were equally divided into two groups according to different surgical positioning methods. The control and observation group underwent gross positioning biopsy and digital tungsten-molybdenum dual-target three-dimensional positioning indwelling guide wire to guide surgical resection biopsy, respectively. The results of molybdenum target X-ray examination and the success rate of one-time complete resection of the lesions were compared between the two groups, and the corresponding relationship between the pathological diagnosis results of the lesions after surgical resection and the performance of mammography in the observation group was compared.
There was no significant difference in age and molybdenum target X-ray examination results between the two groups (P > 0.05). General information is comparable; the success rate of one-time complete resection of lesions in the observation group was significantly higher than that in the control group (95.2% vs 78.6%, P = 0.024). There were 34 cases of malignant lesions in the observation group, accounting for 40.5% (34/84), including 11 cases of invasive ductal carcinoma (64.7%), 50 cases of benign lesions, accounting for 59.5% (50/84), including 16 cases of breast lobular hyperplasia (32%), 18 cases of breast cystic hyperplasia (36%).
In diagnosis of breast microcalcifications, surgical resection biopsy guided using digital tungsten-molybdenum double target three-dimensional positioning indwelling guide wire achieves high success rate and has advantages of high safety and accurate diagnosis. Thus, it has potential to play a greater role in early diagnosis of breast cancer and is worthy of clinical application.
探讨数字钨钼双靶三维定位留置导丝引导下手术切除活检在乳腺微钙化诊断中的应用价值。
回顾性分析 168 例临床触诊及钼靶检查均为阴性但发现乳腺异常的患者，按不同手术定位方法分为两组，对照组与观察组分别行大体定位活检和数字钨钼双靶三维定位留置导丝引导下手术切除活检，对比两组钼靶检查结果及病灶一次性完整切除成功率，对比观察组术后切除病灶的病理诊断结果与钼靶表现的对应关系。
两组患者年龄、钼靶检查结果比较差异均无统计学意义（P＞0.05），一般资料具有可比性；观察组病灶一次性完整切除成功率明显高于对照组（95.2%比 78.6%，P=0.024）。观察组中恶性病变 34 例，占 40.5%（34/84），包括浸润性导管癌 11 例（64.7%），良性病变 50 例，占 59.5%（50/84），包括乳腺小叶增生 16 例（32%），乳腺囊性增生 18 例（36%）。
数字钨钼双靶三维定位留置导丝引导下手术切除活检用于乳腺微钙化诊断中，成功率高，安全性高，诊断准确，在乳腺癌的早期诊断中具有较大的应用潜力，值得临床推广应用。
