论文部分内容阅读
目的:探讨全数字化乳腺摄影(full-field digital mammography,FFDM)在临床未扪及肿块乳腺原位癌中的外科应用价值。方法:2003年4月-2004年8月乳腺外科临床未扪及肿块的乳腺原位癌6例。全部病例经美国GE公司生产的平板2000D全数字化乳腺摄影机检查,并应用定位系统行病灶术前穿刺定位切除。结果:导管内癌4例,小叶原位癌1例,导管内癌伴Paget病1例。全部病例术前准确定位,2例行保乳手术,4例行改良根治术。结论:全数字化乳腺摄影结合术前病灶穿刺定位切除能发现更多临床未扪及肿块的乳腺原位癌,使其得以早期治疗。为提高乳腺癌治愈率和广泛开展保乳手术提高患者的生活质量奠定基础。
Objective: To investigate the surgical value of full-field digital mammography (FFDM) in clinically unremarkable breast carcinoma in situ. Methods: From April 2003 to August 2004, 6 cases of breast carcinoma in situ without palpable mass in breast surgery. All cases by the United States GE company flat panel 2000D all-digital mammography and application of positioning system lesion preoperative puncture location resection. Results: 4 cases of ductal carcinoma, 1 case of lobular carcinoma in situ and 1 case of ductal carcinoma with Paget disease. All cases were accurately preoperative positioning, 2 cases of breast conserving surgery, 4 cases of modified radical mastectomy. Conclusion: Digitized mammography combined with preoperative lesion puncture localization can find more clinically unremarkable breast carcinoma in situ and enable early treatment. To improve the cure rate of breast cancer and extensive breast-conserving surgery to improve the quality of life of patients to lay the foundation.