[1]张林,吴亚群,王立平①.Mammotome旋切术在乳腺肿块活检中的应用[J].中国微创外科杂志,2005,05(9):762-763.
　ZhangLin*,Wu Yaqun*,WangLiping.Use of Mammotome biopsy for breast masses[J].Chinese Journal of Minimally Invasive Surgery,2005,05(9):762-763.
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Mammotome旋切术在乳腺肿块活检中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年9期
页码:
762-763
栏目:
出版日期:
2005-09-30

文章信息/Info

Title:
Use of Mammotome biopsy for breast masses
作者:
张林; 吴亚群; 王立平①
华中科技大学同济医学院附属同济医院外科,武汉,430030
Author(s):
ZhangLin*;  Wu Yaqun*;  WangLiping
Department of Surgery, Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology, Wuhan430030, China
关键词:
Mammotome旋切术; 乳腺肿瘤; 非典型增生
Keywords:
Mammotome; 　Breast tumor; 　Atypical ductal hyperplasia
分类号:
R737.908
文献标志码:
A
摘要:
目的探讨Mammotome旋切术在乳房肿块活检中的应用价值及对检测出的不典型增生病例的外科治疗方法.方法2003年3月～2004年1月对我院32例39处乳腺病灶超声引导下Mammotome微创旋切术及相应外科手术治疗.结果32例39处乳腺病灶中,乳腺纤维腺病24例(31处病灶),浆细胞性乳腺炎1例,非典型增生4例,乳腺癌3例.4例非典型增生中2例接受再手术,结果证实为非典型增生;1例轻度非典型增生和1例介于中度与重度非典型增生之间,口服他莫昔芬.结论对Mammotome旋切术检出的重度非典型增生,必须接受再次手术;对术前可触及肿块的中度以下的非典型增生,建议手术切除;对术前不能触及肿块的中度以下的非典型增生(不合并家族史),在肿块已全切情况下,可不手术,予他莫昔芬口服并随访.
Abstract:
Objective　To investigate the application value of stereotactic vacuum - assisted core needle breast biopsy (Mammotome biopsy) forbreastmasses and the surgical treatment for atypicalductalhyperplasia (ADH) detected by theMammotome biopsy.　M ethods　Ultrasound guidedMammotome biopsies and corresponding surgicalmanagementwere carried out in 32 patients (39 lesions) in this hospital betweenMarch 2003 and January 2004.　Results　Of the 32 patients (39 lesions), fibroadenosiswas diagnosed in 24 patients (31 lesions), plasma cellmastitis in 1 patient, atypical ductalhyperplasia in 4 patients, and breast cancer, 3 patients. Of the 4 patients with atypical hyperplasia, a re-operation was conducted and a confirmative diagnosis of atypical hyperplasiawasmade in 2 patients, while the oral administration ofTamoxifenwas given in 1 patientwithmild atypicalhyperplasia and in 1 patientwithmoderate to severe hyperplasia.　Conclusions　Forpatientswith severeADH detected by theMammotome biopsy, a re-operation is required. For patientswithmild tomoderateADH: if the breastmass is palpable preoperatively, a surgical excision is recommended; if the patient has non-palpable masses with negative family history, in condition that the lesion has been entirely removed, the surgery is notnecessary and the oral administration ofTamoxifen with regular follow-up is indicated.

参考文献/References:

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备注/Memo

备注/Memo:
①超声科
更新日期/Last Update: 2014-04-10