The significance of breast mammography assisted by hook-wire localization biopsy for BI-RADSⅣand above negative breast lesions
10.3969/j.issn.1000-8179.20141347
- VernacularTitle:钼靶钩丝定位在切除触诊阴性的BI-RADS Ⅳ级以上乳腺病变中的意义
- Author:
Hang LI
;
Jianhui SU
;
Ying ZHANG
;
Lavneesh KUMAR
;
Jie ZHANG
;
Shuai YANG
;
Fenghua ZHANG
- Publication Type:Journal Article
- Keywords:
mammary molybdenum target;
negative or non-palpable breast lesions;
breast neoplasms;
radiation imaging technolo-gy;
BI-RADS classification
- From:
Chinese Journal of Clinical Oncology
2014;(20):1318-1322
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the diagnosis significance of breast mammography assisted by hook-wire localization biopsy for BI-RADSⅣand above negative or non-palpable breast lesions. Methods:A total of 48 cases of mammary molybdenum target with BI-RADSⅣlevel and above but with clinical-touched negative or non-palpable breast lesions (including 4 bilateral lesions and 44 uni-lateral lesions;total of 52 lesions) were used in the mammography aided by hook-wire localization biopsy. Results:Among the 52 le-sions, 13 cases were malignant lesions (single), 6 cases were at Stage 0 (accounted for 46.15%), 5 cases were in Stage I (38.46%), and 2 cases were in StageⅡ(15.39%). The remaining 39 cases were benign lesions. Results showed that the detection rate for breast cancer was 25.0%. A total of 39 cases of benign lesions and 10 cases of malignant lesions were found among mammography BI-RADSⅣpa-tients. Zero cases of benign lesions and 3 cases of malignant change were found among BI-RADS Ⅴ patients. The positive rates of breast cancer among BI-RADSⅣandⅤpatients were 25.64%and 100%, respectively. Conclusion:Breast mammography assisted by hook-wire localization biopsy could precisely excise both BI-RADSⅣandⅤnegative/non-palpable breast lesions. This technique can also improve the quality of life and prognosis of patients. It is a safe, accurate, and low-cost diagnostic method. Thus, breast mammogra-phy assisted by hook-wire localization biopsy must be widely used in clinical applications in China.
