Barreau B, Dilhuydy M H, Mac Grogan G, Henriques C, Fontanges M, Valat A, Palussière J, Blanié M
Service de radiodiagnostic, Institut Bergonié, Centre régional de lutte contre le cancer, Bordeaux.
Bull Cancer. 1997 Nov;84(11):1073-8.
The purpose was to evaluate the interest of stereotaxic fine-needle aspiration for round opacities when the ultrasound and echoguided punctures are inefficient; especially when women are under menopausal hormonal replacement therapy. Sixty stereotactic guided fine-needle aspirations detected by mammography have been performed between january 1990 and august 1996. The stereotaxic procedure is performed with a DMR unit (GE with Stereotix II). Stereotaxic views are done to verify needle position. After aspiration, cytologic examination is realised. Cystic fluid was always obtained and cytologic examination proved benign cysts in all cases. In 50 cases, cysts completely disappeared. There were 2 relapses that received after a second. This method is reliable for evaluation of non palpable mammographically detected opacities. The use of this technique spares the patient a surgical biopsy. This procedure enables women under menopausal hormone replacement therapy to continue the treatment.
目的是评估在超声和超声引导穿刺无效时,立体定向细针穿刺对圆形不透明区的适用性;特别是当女性处于绝经后激素替代治疗时。1990年1月至1996年8月期间,共进行了60例通过乳腺X线摄影检测到的立体定向引导细针穿刺。立体定向操作使用DMR设备(通用电气公司的Stereotix II)。进行立体定向视图以验证针的位置。穿刺后,进行细胞学检查。总是能获取到囊液,并且细胞学检查在所有病例中均证实为良性囊肿。在50例病例中,囊肿完全消失。有2例复发,在第二次穿刺后得到处理。该方法对于评估乳腺X线摄影检测到的不可触及的不透明区是可靠的。使用该技术可使患者免于手术活检。该操作能让处于绝经后激素替代治疗的女性继续接受治疗。