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超声检查在乳腺肿块管理中的应用。

The use of ultrasonography in the management of masses of the breast.

作者信息

Teixidor H S

出版信息

Surg Gynecol Obstet. 1980 Apr;150(4):486-90.

PMID:7361233
Abstract

Contact B-mode ultrasonography of masses of the breast is a simple, safe and noninvasive technique which does not involve the use of ionizing radiation. It is highly accurate in differentiating cystic from solid mammary masses measuring 1 centimeter or larger. A biopsy of a sonographically solid mass should be done unless it has an unequivocally benign appearance on mammography. A biopsy of a purely cystic mass, if asymptomatic, need not be done for diagnostic purposes. Needle aspiration can be used as an alternate method for diagnosing a cyst, but failure of this method occurs more often than one is aware of. Sonography is the method of choice for such a diagnosis. Its accuracy in masses 1 centimeter or larger is 100 per cent. When propertly used and carefully correlated with clinical and mammographic findings, it can eliminate over one-third of all operations on the breast.

摘要

乳腺肿块的超声B型检查是一种简单、安全且无创的技术,不涉及电离辐射的使用。对于直径1厘米或更大的乳腺肿块,它在区分囊性和实性方面具有很高的准确性。除非在乳房X线摄影上有明确的良性表现,否则对于超声检查为实性的肿块应进行活检。对于无症状的纯囊性肿块,无需为诊断目的进行活检。针吸活检可作为诊断囊肿的替代方法,但该方法的失败率比人们意识到的更高。超声检查是这种诊断的首选方法。其对直径1厘米或更大肿块的诊断准确率为100%。如果使用得当并与临床和乳房X线摄影结果仔细关联,它可以避免超过三分之一的乳腺手术。

相似文献

1
The use of ultrasonography in the management of masses of the breast.超声检查在乳腺肿块管理中的应用。
Surg Gynecol Obstet. 1980 Apr;150(4):486-90.
2
Ultrasonographic evaulation of breast masses.乳腺肿块的超声评估
J Can Assoc Radiol. 1976 Dec;27(4):278-82.
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Palpable breast masses with probably benign morphology at sonography: can biopsy be deferred?超声检查显示形态可能为良性的可触及乳腺肿块:活检能否推迟?
Acta Radiol. 2008 Dec;49(10):1104-11. doi: 10.1080/02841850802438504.
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High-resolution breast ultrasonography.高分辨率乳腺超声检查
Diagn Gynecol Obstet. 1980 Winter;2(4):303-12.
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[Ultrasonic diagnosis of breast diseases].[乳腺疾病的超声诊断]
J Gynecol Obstet Biol Reprod (Paris). 1975;4 SUPPL 2:131-7.
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[Comparison of the diagnostic value of the individual examination steps (triple diagnosis) in breast cysts].
Ultraschall Med. 1990 Aug;11(4):202-5. doi: 10.1055/s-2007-1011562.
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Combined mammographic-sonographic evaluation of breast masses.乳腺肿块的乳腺钼靶-超声联合评估
AJR Am J Roentgenol. 1977 Mar;128(3):409-17. doi: 10.2214/ajr.128.3.409.
8
[Ultrasonographic examination of the breast: current use and perspectives (author's transl)].[乳腺超声检查:当前应用与展望(作者译)]
J Gynecol Obstet Biol Reprod (Paris). 1980;9(6):641-8.
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[Papillary lesions of the breast: diagnostic imaging and contribution of percutaneous needle biopsy with 14G needle].[乳腺乳头状病变:诊断性影像学检查及14G针经皮穿刺活检的作用]
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Breast sonography to guide cyst aspiration and wire localization of occult solid lesions.
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A case of intracystic carcinoma of the breast: the importance of measuring carcinoembryonic antigen in aspirated cystic fluid.
Breast Cancer Res Treat. 1993 Oct;28(1):41-4. doi: 10.1007/BF00666354.
2
A program for breast cancer detection.一个乳腺癌检测程序。
West J Med. 1982 Mar;136(3):270-3.
3
The role of the obstetrician-gynecologist in the management of breast lesions.妇产科医生在乳腺病变管理中的作用。
J Natl Med Assoc. 1983 Aug;75(8):783-92.
4
The use of ultrasound in benign breast disorders.
World J Surg. 1989 Nov-Dec;13(6):692-8. doi: 10.1007/BF01658416.