Fine R E, Boyd B A
Breast Center, Marietta, Georgia 30060, USA.
Am Surg. 1996 Feb;62(2):96-102.
The continuing increase of women participating in mammographic screening has resulted in a rise in the number of nonpalpable abnormalities identified. The development of minimally invasive and cost-effective methods to achieve accurate histologic diagnosis is needed. Stereotactic needle core biopsy had been used to reduce the number of women requiring needle-directed open surgical biopsies for benign disease. The team approach is essential for implementation of these newer diagnostic and interventional modalities. The surgeon has always taken the responsibility for coordinating the diagnostic and treatment components of appropriate breast care. Therefore, surgeons must continue to integrate new technology into their practices. The extensive experience of more than 3000 stereotactic biopsies performed at The Breast Center has provided the background for discussing the technical aspects of the procedure. The appropriate workup and subsequent indications for patient selection are reviewed. Pre and postprocedural patient considerations are addressed. This should provide an introduction to the basic principles of stereotactic needle core biopsy for implementation into a surgical practice.
参与乳腺钼靶筛查的女性人数持续增加，导致查出的不可触及异常数量上升。因此，需要开发微创且经济高效的方法以实现准确的组织学诊断。立体定向针芯活检已被用于减少因良性疾病而需要进行针引导开放性手术活检的女性人数。团队协作对于实施这些更新的诊断和介入方式至关重要。外科医生一直负责协调适当的乳腺护理中的诊断和治疗环节。因此，外科医生必须继续将新技术融入他们的实践中。在乳腺中心进行的3000多次立体定向活检的丰富经验为讨论该手术的技术方面提供了背景。本文回顾了适当的检查流程以及后续患者选择的指征。文中还讨论了术前和术后患者的注意事项。这应能为将立体定向针芯活检的基本原则应用于外科实践提供一个介绍。
