Diagnostic value of X-ray stereotactic vacuum-assisted biopsy for breast micro-calcification
10.3760/cma.j.issn.1006-9801.2015.04.006
- VernacularTitle:X线立体定位真空辅助活组织检查对乳腺微小钙化灶的诊断价值
- Author:
Xiaozhou XU
;
Ying SONG
;
Bailin ZHANG
;
Yanfeng ZHAO
;
Jing LI
;
Xun YANG
;
Xiang WANG
- Publication Type:Journal Article
- Keywords:
Breast micro-calcification;
Vacuum-assisted biopsy;
Diagnosis;
Wire guided lumpectomy
- From:
Cancer Research and Clinic
2015;27(4):243-245
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the accuracy and clinical effect between X-ray stereotactic vacuum-assisted biopsy (SVAB) and metal wire guided lumpectony.Methods From January 2010 to June 2014,681 cases of breast micro-calcification biopsy were performed.Among them,78 cases were performed with SVAB and 603 eases were performed with the method of stereotaetic metal wire guided lumpectomy.All cases were non-palpable breast lesions (NPBLs) and breast imaging-reporting and data system (BI-RADS) assessment categories 4.The diagnostic accuracy and clinical effect were compared.Results The sensitivity of both methods was 100 % with no misdiagnosis.The underestimation rate of SVAB was 12.5 %.Compared with the method of metal wire guided lumpectomy,SVAB had many advantages,such as easy to use,quickly performed,low rate of local deformation and lower rate of operative complications.77.5 % patients benefited from SVAB by avoiding open surgery of benign disease.Conclusions SVAB is an accurate,safe and convenient method of biopsy.It can be recommended as the preferred method of micro-calcification (BI-RADS 4).Additional operation should be performed on patients with the pathological diagnosis of middle and high grade of dysplasia and any kind of carcinoma.