Farmer E, Kirkpatrick A E, Forrest A P
Br J Surg. 1986 Sep;73(9):756-7. doi: 10.1002/bjs.1800730926.
The value of specimen radiology in the surgical management of palpable breast lesions was assessed in 100 consecutive patients undergoing excision of a palpable breast lump. Only 41 per cent of palpable breast lesions were demonstrable as a radiological abnormality on the excised specimen. The greatest sensitivity was found for lesions which proved to be malignant. Only 27 of 88 benign palpable breast lesions were radiologically visible in the specimen. Surprisingly, only 8 of 13 fibroadenomas were identified as discrete opacities. No residual breast lump was detected on clinical examination in patients reviewed postoperatively, including those patients who had a demonstrable preoperative mammographic abnormality and a negative specimen radiograph. We conclude that specimen radiology does not contribute to the surgical management of palpable breast lesions.
对100例连续接受可触及乳腺肿块切除术的患者评估了标本放射学在可触及乳腺病变外科治疗中的价值。在切除的标本上，只有41%的可触及乳腺病变表现为放射学异常。对于经证实为恶性的病变，发现其敏感性最高。在88例良性可触及乳腺病变中，标本上只有27例在放射学上可见。令人惊讶的是，13例纤维腺瘤中只有8例被识别为离散的不透明影。术后复查的患者临床检查未发现残留乳腺肿块，包括术前乳腺X线摄影有明显异常且标本放射照片为阴性的患者。我们得出结论，标本放射学对可触及乳腺病变的外科治疗没有帮助。
