頁籤選單縮合
題 名 | Stereotactic 11-Gauge Vacuum-assisted Breast Biopsy: Experience of 420 Cases with Microcalcification on Mammography of Non-palpable Lesions=立體定位11-Gauge真空輔助乳房切片:不可觸及乳腺微鈣化病灶的420例經驗 |
---|---|
作 者 | 黃元俊; 河上芸; 廖瓊櫻; 薛靖; 李國維; 陳威良; 溫佳瑩; 胡華堃; | 書刊名 | Journal of Radiological Science |
卷 期 | 36:4 2011.12[民100.12] |
頁 次 | 頁195-202+a9 |
分類號 | 416.226 |
關鍵詞 | 立體定位11-Gauge真空輔助乳房切片; 乳腺微鈣化; |
語 文 | 英文(English) |
英文摘要 | The purpose of this study was to assess the value of stereotactic vacuum-assisted breast biopsy (VABB) in patients with non-palpable lesions with microcalcification detected on mammography. From September 2007 to December 2010, mammography-guided stereotactic 11-gauge vacuum-assisted breast biopsies using Mammotome biopsy system were performed for four hundred twenty microcalcified lesions on mammography. All lesions are categorized according to the Breast Imaging Reporting and Data System (BI-RADS). Six cases were BI-RADS category 3, 396 cases were BI-RADS category 4, and 18 cases were BI-RADS category 5. Breast mammography examination was performed after all procedures to record if there were residual microcalcifications or formation of hematoma. Histologic findings were examined to determine the frequency of histologic underestimation and positive predictive value. Microcalcifications were observed in the specimens on all specimen mammogram or histology. Complications included hematoma, and ecchymosis. Forty-six of the cases were pre-cancerous lesions (11.0%). Two hundred ninetyone of the cases were mastopathy (69.3%), and 83 cases (19.8%) were breast cancer (65 were ductal carcinoma in situ, and 18 were invasive ductal carcinoma). Eighty breast cancers were diagnosed as BI-RADS category 4 or 5 (96.4%) on mammography. False-negative diagnosis was none with a false negative rate of 0%. Underestimate rate of atypical ductal hyperplasia and ductal carcinoma in situ were 11.1% and 4.6% respectively. The percentages of pre-cancerous lesions and ductal carcinoma in situ are 11.0% and 15.5%, respectively. The stereotactic VABB provide pre-operative histological diagnosis effectively. |
本系統中英文摘要資訊取自各篇刊載內容。