Homer M J, Marchant D J, Smith T J
Surg Gynecol Obstet. 1985 Dec;161(6):532-4.
During a period of two years, nine patients were found who had a solitary geographic cluster of microcalcifications which appeared to be intramammary on two standard mammographic views. In two instances, the women underwent unsuccessful excisional biopsies. In the other seven patients, the true location of the microcalcifications was recognized and proved preoperatively so biopsy was avoided. When intradermal microcalcifications are fortuitously imaged in tangent or when they assume characteristic polygonal shapes with lucent centers, their intradermal location should be suspected. However, if the form is not typical of intradermal calcifications and when the location appears to be intramammary on the routine mammographic views, an excisional biopsy will usually be recommended. If skin is not included in the excised tissue, then the biopsy will be unsuccessful. A simple technique using a metallic marker can confirm the true intradermal location of calcifications.
在两年时间里，发现了9例患者，其乳腺内有孤立的局灶性微钙化簇，在两张标准乳腺钼靶片上看似位于乳腺实质内。其中2例患者接受了切除活检，但未成功。在其他7例患者中，术前确定并证实了微钙化的真实位置，从而避免了活检。当皮内微钙化偶然在切线位成像，或呈现出具有透亮中心的特征性多边形形状时，应怀疑其位于皮内。然而，如果形态不符合皮内钙化的典型表现，且在常规乳腺钼靶片上位置看似位于乳腺实质内，通常会建议进行切除活检。如果切除组织中未包含皮肤，那么活检将不会成功。一种使用金属标记物的简单技术可以确认钙化的真实皮内位置。
