Leeming R, Madden M, Levy L
Department of Surgery, Mount Sinai Medical Center, Cleveland, Ohio 44106.
Surg Gynecol Obstet. 1993 Jul;177(1):84-6.
A technique using basic geometric principles is described that allows accurate determination of the location of the nonpalpable lesion in relation to the localizing wire tip and the skin. This method allows the surgeon to make the skin incision directly over the lesion, thus avoiding the creation of tissue flaps and minimizing the amount of tissue removed. While this technique is most helpful for lesions that are remote from the wire tip or buried deep within the breast, these principles are important in all biopsies of the breast. As the number of mammograms performed continues to increase, so will the number of needle localized biopsies, and surgeons must be familiar with techniques to simplify and improve these procedures. Breast conserving treatment for early stage carcinoma of the breast is an accepted form of treatment, and meticulous attention to the technical details of the biopsy will allow it to serve as the definitive surgical procedure. Avoidance of a second operation on the breast is preferable for the patient and will help to reduce health care costs.
本文描述了一种利用基本几何原理的技术，该技术能够精确确定不可触及病变相对于定位丝尖端和皮肤的位置。这种方法使外科医生能够在病变正上方直接进行皮肤切口，从而避免形成组织皮瓣，并将切除的组织量降至最低。虽然该技术对远离丝尖端或深埋于乳腺内的病变最为有用，但这些原则在所有乳腺活检中都很重要。随着乳房X光检查数量的持续增加，针定位活检的数量也会增加，外科医生必须熟悉简化和改进这些操作的技术。早期乳腺癌的保乳治疗是一种公认的治疗方式，对活检技术细节的精心关注将使其能够作为确定性手术。对患者来说，避免对乳房进行二次手术更好，这也有助于降低医疗成本。
