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目的 探讨X线立体穿刺钢丝标记定位在无临床体征的早期乳癌中的诊断价值。方法 对 2 9例钼靶X片上有可疑病灶而无任何临床体征的患者 ,在X线立体定位下穿刺病灶并用金属导丝标记 ,标记后根据导丝位置切除病灶 ,并进行快速冰冻活检 ,明确诊断。结果 2 9例中 9例 (31.0 % )为癌 ,2 0例 (6 9.0 % )良性。冰冻切片病理检查与术后石蜡报告结果一致。结论 X线立体穿刺钢丝标记定位活检技术解决了乳腺微小病灶活检术中精确定位的难题 ,对无临床体征的早期乳癌诊断准确、可靠、实用。
Objective To investigate the diagnostic value of stereotactic X-ray needle localization in early-stage breast cancer without clinical signs. Methods Twenty-nine patients with suspicious lesions on the X-ray mammography without any clinical signs were punctured with X-ray stereotaxic lesions and labeled with metal guidewires. After the lesions were marked, the lesions were removed according to the position of the guidewire, and a rapid freezing biopsy was performed. diagnosis. Results Nine out of 29 cases (31.0%) were cancer and 20 cases (69.0%) were benign. The pathological examination of frozen section was consistent with the results of postoperative paraffin. Conclusions The X-ray puncture wire marker biopsy technique solves the problem of precise positioning in breast microsurgery biopsy. It is accurate, reliable and practical for the diagnosis of early breast cancer without clinical signs.