Ultrasound-guided precise resection of 48 cases of occult breast lesions
10.3760/cma.j.issn.1673-4203.2012.11.013
- VernacularTitle:超声定位下48例隐匿性乳腺病灶精准切除
- Author:
Ning ZHAO
;
Changsheng TENG
- Publication Type:Journal Article
- Keywords:
Breast diseases;
Ultrasonography;
Biopsy,needle
- From:
International Journal of Surgery
2012;39(11):763-765
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical significance of occult breast lesions biopsy,determine the operating methods of ultrasound-guided precisie resection of occult breast lesions,improve early diagnosis rate of breast cancer.Methods Forty-eight occult breast lesions of 44 patients were reviewed by localization-needle and skin markers method under ultrasound-guided,and the lesions were removed surgically according to the fixed steps.Results It was confirmed that all the impalpable mammary masses were exactly excised without localization-needle fracture or prolapse through postoperative pathological diagnosis.Breast appearance had no change after the operation.No nipple-areola necrosis occurred.The pathology results showed 4 cases of invasive ductal carcinoma (Ⅰ stage),the incidence rate being 8.3%,and 15 cases of atypical hyperplasia,the incidence rate being 31.3%.The other types were benign disease such as adenosis,intraductal papilloma,fibroadenoma and mammary duct ectasia.Conclusions Ultrasound-guided precise resection of occult breast lesions is a safe and effective diagnosis and treatment method,which needs some surgical skills.It has positive significance in improving breast cancer early diagnosis rate,reducing medical costs and decreasing breast biopsies complications.