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頁籤選單縮合
題名 | Intraoperative Ultrasound-Guided Excisional Biopsy for Nonpalpable Breast Lesions=觸摸不到乳房腫瘤在術中超音波指引下切除分析 |
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作者姓名(中文) | 陳訓徹; 黃燦龍; 陳敏夫; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 30:6 民86.11-12 |
頁次 | 頁389-393 |
分類號 | 416.226 |
關鍵詞 | 乳房腫瘤; 超音波; Nonpalpable breast cancer; Ultrasound; |
語文 | 英文(English) |
中文摘要 | 長庚紀念醫院,從1993年3月至1995年10月,共有觸摸不到的乳房腫瘤病人101位,接受超音波指引下手術切除,病人平均年齡為42歲,病灶在左邊的有60位,有3位病人為二側乳房皆有腫瘤。腫瘤的大小平均為1.13X0.8公分,病人來院接受超音波檢查的適應症包括臨床上有乳房結節、纖維囊腫、乳頭出血、先前因乳癌接受一側乳房切除等,而病人自己及臨床醫師皆觸摸不到有乳房腫瘤者。所有病人中計有41位接受乳房X光攝影,但只有9位病人發現有腫瘤,而8位有微細鈣化。切除後病理組織檢查結果為40位纖維腺瘤,45位纖維囊腫,8位乳管內乳突瘤,7位癌症,1例葉狀肉瘤。7位觸摸不到的乳癌其大小平均為1.15X0.98公分。7例皆有乳房X光攝影,只有一例可發現腫瘤,另一例有微細鈣化點。10例觸摸不到的腫瘤位在乳房皮下1.14公分處,較之其他可觸摸之腫瘤( 0.58公分) ,顯著的位在乳房較深處。 結論:乳房超音波不僅可區分腫瘤與囊腫,分辨良、惡性,對一些臨床上觸摸不到的腫瘤也有很高的檢出率。術中超音波指引下切除腫瘤,可避免細針抹片,粗針穿刺切片的一些不確定性,是一方便而正確的方法。 |
英文摘要 | Between March 1993 and October 1995, nonpalpable breast lesions in 101 patients were excised under intraoperative ultrasound examination at Chang Gung Memorial Hospital in Taipei, Taiwan. The clinical indications for breast ultrasound examination included breast nodularity, fibrocystic changes, bleeding nipples, breast dominant masses and patients who had had one-side mastectomy for breast cancer. The mean age of the patients was 42 years old. In 60 cases the lesions was located in the left breast, while three patients had bilateral nonpalpable breast lesions. The average tumor size was 1.13X0.8 cm. Forty-one patients had x-ray mammography but only nine of those patients demonstrated a mass, and eight patients showed microcalcifications. The pathology revealed that 40 cases were benign tumors, 45 were fibrocystic changes, eight cases of intraductal papilloma, seven were cases of malignancy and one patient had a phyllodes tumor. For the seven nonpalpable breast cancers, the average size was 1.15X0.98 cm. Of these seven, only one patient presented with microcalcification and another with a mass lesion on mammography. The nonpalpable tumors were located 1.14cm below the skin of the breast, significantly deeper than the palpable tumors (0.58 cm). Breast ultrasound is not only indicated for palpable tumors to differentiate cysts from solid tumors, and benign lesions from malignant, but it is also necessary for every high risk asymptomatic Chinese woman. The intraoperative ultrasound-guided excisional biopsy is an effective and accurate procedure for the diagnosis of nonpalpable breast lesions. |
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