目的 評(píng)價(jià)B超引導(dǎo)下核心針活檢術(shù)（CNB）對(duì)不可觸及的乳腺病變（NPBL）的診斷價(jià)值。方法 采用18G Tru-cut針結(jié)合活檢槍對(duì)88例患者的96個(gè)NPBL行B超引導(dǎo)下CNB，并與切除活檢病理結(jié)果比較。結(jié)果 NPBL大小4～23mm（平均13.1mm）。在CNB中，86個(gè)為良性，2個(gè)為可疑惡性，6個(gè)為惡性，2個(gè)取材不良。在切除活檢中9個(gè)為惡性，87個(gè)為良性。CNB可疑惡變的2個(gè)NPBL均為惡性，1個(gè)惡性NPBL誤診為乳腺腺病，取材不良的2個(gè)NPBL均為良性。本組NPBL中惡性病變占9.38%（9/96），B超引導(dǎo)下CNB對(duì)NPBL的良惡性診斷正確率為98.94%（93/94），診斷乳腺癌的敏感性為88.89%（8/9），特異性為100%（8/8），良性病變的病理診斷符合率為97.70%（85/87），取材不良為2.08%（2/96）。結(jié)論 B超引導(dǎo)下CNB對(duì)NPBL的診斷具有較高的敏感性和特異性，結(jié)果準(zhǔn)確可靠。
引用本文： 曾健,陸云飛,林進(jìn)令,陳玲. B超引導(dǎo)下核心針活檢術(shù)診斷不可觸及的乳腺病變. 中國(guó)普外基礎(chǔ)與臨床雜志, 2001, 8(5): 340-341. doi: 復(fù)制
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- 2. Fornage BD. Sonographically guided needle biopsy of nonpalpable breast lesions 〔Ｊ〕. J Clin Ultrasound, 1999; 27(7)∶385.
- 3. Sneige N, Fornage BD, Saleh G. Ultrasoundguided fineneedle aspiration of nonpalpable breast lesions： cytologic and histologic findings 〔Ｊ〕. Am J Clin Pathol, 1994; 102(1)∶98.
- 4. Sneige N, Tulbah A. Accuracy of cytologic diagnosis made from touch imprints of imageguided needle biopsy specimens of nonpalpable breast abnormalities 〔Ｊ〕. Diagn Cytopathol, 2000; 23(1)∶29.