Under the guidance of ultrasound MMT and BARD biopsy needle biopsy in diagnosis of breast lesions in clinical palpation negative value
10.3969/j.issn.1009-9905.2016.12.002
- VernacularTitle:超声引导下MMT与Bard活检针在乳腺触诊阴性的乳腺癌活检诊断中的价值比较
- Author:
Haowen FU
- Keywords:
Ultrasound;
Mammotome;
Breast neoplasms;
Palpation;
Negative lesions;
Bard biopsy needle
- From:
Chinese Journal of Current Advances in General Surgery
2016;19(12):928-931
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Ultrasound guided by Mammotome spiral cut (MMT) system and the traditional bard needle aspiration biopsy in the diagnosis of nonpalpable breast lesions.Methods:Chooses January 2014 to 2016 January in our hospital were 113 cases of breast ultrasound,mammography found and nonpalpable breast lesions were retrospectively analyzed,a total of 167 breast lesions,of which 80 cases (120 lesions in ultrasound guided by MMT rotary cutting biopsy (MMT group),33 cases (47 lesions) take bard biopsy (Bard group),with postoperative pathological results as the gold standard,comparison of the two methods diagnostic value.Results:MMT group biopsy success rate of 100% was significantly higher than that of Bard group 87.23%,the difference has statistical significance (P<0.05);MMT method biopsy for differential diagnosis sensitivity of benign and malignant nonpalpable breast lesions is 96.67%,and the specificity was 97.78%,misdiagnosis rate was 3.33%,and the misdiagnosis rate was 2.22%;bard biopsy to identify diagnostic sensitivity of benign and malignant nonpalpable breast lesions was 83.33%,the specificity was 92.22%,misdiagnosis rate was 16.67%,misdiagnosis rate was 7.78%.MMT biopsy complication rate was 10% significantly lower than the Bard group 30.30%,the difference was statistically significant (P < 0.05).Conclusion:Ultrasound guided MMT biopsy needle puncture biopsy with Bard has a higher diagnostic value for breast nonpalpable lesions.