Brendlinger D L, Robinson R, Sylvest V, Burton S
Allison Breast Center, Richmond VA.
Va Med Q. 1994 Summer;121(3):179-84.
Stereotactic core breast biopsy provides diagnostic accuracy equal to open surgical biopsy and is more comfortable and more cost effective than open surgical biopsy. A series of 75 patients is presented, of which 15 (20%) had positive findings, including 11 cancers and 4 atypical hyperplasias. The authors discuss indications, methods, patient preparation and results relating to this series of patients, including initial use of lateral compression for stereotactic core biopsies. This procedure promises to become the procedure of choice for nonpalpable, mammographically detected, indeterminate lesions of the breast and is likely to alter the conventional roles for the surgeon and radiologist regarding breast biopsy.
立体定向乳腺芯针活检的诊断准确性与开放性手术活检相当,且比开放性手术活检更舒适、更具成本效益。本文介绍了75例患者的情况,其中15例(20%)有阳性结果,包括11例癌症和4例非典型增生。作者讨论了与这组患者相关的适应症、方法、患者准备和结果,包括立体定向乳腺芯针活检最初使用的侧方压迫法。该手术有望成为乳腺钼靶检查发现的不可触及的、不确定的乳腺病变的首选检查方法,并可能改变外科医生和放射科医生在乳腺活检方面的传统角色。