Boes C J, Elson J D, Call J E
Department of Radiology, Bishop Clarkson Memorial Hospital.
Nebr Med J. 1993 Dec;78(12):380-2.
The results of 54 stereotactic core breast biopsies performed at Bishop Clarkson Memorial Hospital were reviewed. In 47 biopsies (87% of the total), a definitive diagnosis of either benign or malignant was made. Two biopsies (4% of the total) were classified as missed, and 5 biopsies (9% of the total) were deemed indeterminate. To improve both the success of the procedure and patient management, six recommendations were made: Patients judged to be potentially uncooperative and inclined to move during the procedure should receive sedation. A post-biopsy, non-stereo film should be taken to determine whether additional stereotactic biopsies will be required to adequately sample the lesion. Lesions containing microcalcifications should have a specimen radiograph prior to completing the biopsy procedure. A history sheet including clinical and mammographic findings should be given to pathology along with the biopsy specimen to assist in the histologic interpretation. The radiologist should review the pathology results in order to determine if a miss has occurred and additional biopsy is indicated. Six-month follow-up mammograms are to be required following a benign stereotactic biopsy diagnosis.
回顾了在主教克拉克森纪念医院进行的54例乳腺立体定向核心活检的结果。在47例活检（占总数的87%）中，做出了良性或恶性的明确诊断。2例活检（占总数的4%）被归类为漏诊，5例活检（占总数的9%）被判定为不确定。为了提高手术成功率和患者管理水平，提出了六项建议：被判定在手术过程中可能不合作且容易移动的患者应接受镇静。活检后应拍摄非立体片，以确定是否需要额外的立体定向活检来充分采集病变样本。含有微钙化的病变在完成活检程序前应进行标本射线照相。应将包括临床和乳房X线摄影结果的病史表与活检标本一起交给病理科，以协助组织学解释。放射科医生应复查病理结果，以确定是否发生漏诊以及是否需要进行额外的活检。良性立体定向活检诊断后需进行六个月的乳房X线摄影随访。
