Roe S M, Sumida M P, Burns R P, Greer M S, Clements J B
Department of Surgery, University of Tennessee College of Medicine, Chattanooga, USA.
Am Surg. 1996 Feb;62(2):113-6.
Minimally invasive diagnostic techniques in evaluating patients with breast disease have been increasingly utilized and accepted by physicians and patients over recent years. The incorporation of stereotactic core needle biopsy and ultrasound-guided core needle biopsy into the office practice of evaluating patients with breast disease by our surgical faculty has been met favorably. These procedures are readily learned by surgeons. The judicious use of these procedures is evidenced by the malignancy rate of core biopsies of 16 per cent, identical to the historical rate for needle localization assisted excisional biopsy at our institution. Core breast biopsy expedites definitive diagnosis and optimizes patient convenience. Reimbursement is highly variable, and active physician participation in negotiating with payors to insure that costs are met is essential.
近年来，微创诊断技术在评估乳腺疾病患者中的应用越来越广泛，并得到了医生和患者的认可。我们外科团队将立体定向空心针活检和超声引导下空心针活检纳入乳腺疾病患者的门诊评估实践中，获得了良好的反响。外科医生很容易学会这些操作。这些操作的合理使用体现在空心针活检的恶性率为16%，与我们机构历史上针定位辅助切除活检的恶性率相同。乳腺空心针活检加快了明确诊断的速度，并为患者提供了最大便利。报销情况差异很大，医生积极参与与付款方协商以确保费用得到支付至关重要。
