Miller A, Abrahamson J, Boss J H, Nash E
Isr J Med Sci. 1981 Sep-Oct;17(9-10):905-10.
The rational management of the palpable breast lump requires a tissue diagnosis. The more conventional approach is biopsy under general anesthesia, examination of frozen sections and "follow-on" mastectomy when indicated. In the present study, we aimed at arriving at an unequivocal tissue diagnosis by studying permanent sections at a separate ambulatory procedure either with formal biopsy under local anesthetic or, in suspicious lumps, with the Trucut biopsy needle (Travenol Laboratories, Inc. USA). Only 7 (14%) of the 56 women with 64 breast lumps were hospitalized for biopsy under general anesthesia. In 13 out of 22 breast cancers, the definitive diagnosis was made by examining Trucut needle biopsy specimens. This alternative approach provides a significant reduction of costs, more efficient utilization of operating time and a fully evaluated, psychologically prepared patient, when mastectomy is indicated.
对于可触及的乳腺肿块进行合理管理需要进行组织诊断。更传统的方法是在全身麻醉下进行活检、检查冰冻切片，并在必要时进行“后续”乳房切除术。在本研究中，我们旨在通过在单独的门诊手术中研究永久切片来得出明确的组织诊断，该手术可以是在局部麻醉下进行正式活检，或者对于可疑肿块，使用Trucut活检针（美国Travenol实验室公司）。56名患有64个乳腺肿块的女性中，只有7名（14%）因全身麻醉下的活检而住院。在22例乳腺癌中，有13例通过检查Trucut针活检标本做出了明确诊断。当需要进行乳房切除术时，这种替代方法可显著降低成本、更有效地利用手术时间，并使患者得到充分评估且心理上做好准备。
