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題 名 | Management of Breast Fibroadenomas by Ultrasound-Guided Vacuum-Assisted Biopsy -- Three Years Experience=超音波導引真空輔助切片器在纖維腺瘤治療上的應用--三年經驗 |
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作 者 | 吳永康; 黃昱閔; 周紹賓; 陳華宗; 黃士銘; 李明哲; 倪雨珠; 張耀仁; | 書刊名 | 慈濟醫學 |
卷 期 | 17:6 民94.12 |
頁 次 | 頁405-408+452 |
分類號 | 416.226 |
關鍵詞 | 乳房腫瘤; 纖維腺瘤; 超音波導引; 真空輔助切片; Breast mass; Fibroadenoma; Ultrasound-guided; Vacuum-assisted biopsy; |
語 文 | 英文(English) |
中文摘要 | 目的:纖維腺瘤是年輕婦女常見的乳房良性腫瘤,目前對纖維腺瘤的處理依然非常分歧,在過去的十年中超音波導引真空輔助切片器(UGVAB)已廣泛的被應用在乳房纖維腺瘤的治療上,本文章是要評估UGVAB在對於纖維腺瘤的診斷,治療及完全切除上所能扮演的角色。材料與方法:自2000年7月至2003年7月共有113位經由放射線及臨床診斷為纖維腺瘤的病患接受UGVAB的治療,其腫瘤大小為0.5公分至2公分,所有接受此項手術的病患,其手術後之效果包括:診斷率、合併症及完全切除率均被評估。結果:所有113位經UGVAB所取下的組織均送至病理科,做組織鑑定。除一位病患外,均證實為良性纖維腺瘤,其正確率為99%,除外的是一位原位性的葉狀癌的病患(LCIS)。腫瘤在0.5公分至1.5公分大小的均可經UGVAB完全切除。然而,腫瘤大小在1.6公分至2公分的完全切除率只有67%。接受UGVAB後有兩位病患(1.76%)產生氣胸,有13位(11.5%)病患有嚴重的瘀血產生,平均手術時間為48分鐘(20分鐘至150分鐘)。所有的病患均沒有傷口感染的情況產生,病患對手術傷口的美容效果亦極為滿意。結論:在我們的3年經驗中UGVAB在乳房腫瘤的診斷上是一種快速而準確的方法,而且對於1.5公分以下的腫瘤亦能達到完全切除的效果。因此,我們深信對乳房細小纖維腫瘤的治療上UGVAB是安全而有效的一種方法。 |
英文摘要 | Fibroadenoma is a common benign breast tumor occurring in young women. The management of fibroadenoma is still debatable. During the last decade, ultrasound-guided vacuum-assisted biopsy (UGVAB) has been widely used in the treatment of breast fibroadenoma. We wanted to evaluate the role of UGVAB in the diagnosis, treatment and complete excision of breast fibroadenoma. Materials and Methods: From July 2000 to July 2003, 113 consecutive patients, with radiographically or clinically suspected breast fibroadenomas 0.5 to 2 cm in size, were prospectively referred for UGVAB. The clinical outcome (complications, diagnostic rate and complete excision rate) of all patients were reviewed. Results: All 113 UGVAB tissues were sent to the pathology department for histological examination and all but one were diagnosed as fibroadenomas (99%). The exception was confirmed as lobular carcinoma in situ (LCIS). All tumors 0.5 cm to 1.5 cm in size were completely excised by UGVAB. However, the complete excision rate was only 67% for tumors 1.6cm to 2cm in size. Two patients had pneumothorax (1.76%) and 13 patients had severe ecchymosis (11.5%) after UGVAB. The average time for completion of the procedure was 48 minutes (range 20 to 150minutes). There were no wound infections and all patients were satisfied with the cosmetic results. Conclusions: In our three-yearexperience, UGVAB is a fast and accurate method for breast tumor diagnosis. Moreover, tumors measuring 1.5 cm or less can be completely removed under UGVAB. Therefore, we believe that UGVAB is a safe and effective method of treatment for small fibroadenomas. |
本系統中英文摘要資訊取自各篇刊載內容。