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目的:探讨触诊阴性乳腺癌的诊治方法。方法:回顾性分析2002年1月—2011年12月经治的30例触诊阴性的乳腺癌的诊断和治疗及随访结果。结果:30例触诊阴性患者均为钼靶X线摄片发现乳腺可疑病灶,经钼靶X相引导下细针定位切除病灶,病理证实为乳腺癌。18例行改良根治术,10例行单乳切除术,2例行保乳根治术。随访至今,无1例患者死亡,1例患者于术后2年出现肺转移,最长随访时间为10年。结论:乳腺钼靶X线下细针定位穿刺活检术在触诊阴性乳腺癌诊治中具有重要意义,其使触诊阴性乳腺癌患者能够明确诊断,提高乳腺癌患者的早诊率和生存率。
Objective: To explore the diagnosis and treatment of palpation-negative breast cancer. Methods: The diagnosis, treatment and follow-up results of 30 palpated negative breast cancer patients were retrospectively analyzed from January 2002 to December 2011. Results: Thirty cases of palpation negative were found mammography suspicious lesions, guided by the molybdenum target X-phase fine needle localization lesions, the pathology confirmed as breast cancer. 18 cases of modified radical mastectomy, 10 cases of simplex resection, 2 cases of conservative treatment of radical mastectomy. Up to now, none of the patients died, and one patient developed lung metastases 2 years after the operation. The longest follow-up time was 10 years. CONCLUSION: The fine needle positioning biopsy under mammography is of great significance in the diagnosis and treatment of palpation-negative breast cancer. It makes the diagnosis of palpation-negative breast cancer clear and improves the diagnosis and survival rate of patients with breast cancer.