Abstract:

Analysis of value of nonpalpable breast lesions by vacuum assisted biopsy        JIN Si-li, ZHAO Yi.The Seventh Department of General Surgery, Shengjing Hospital, China Medical Universiry, Shenyang 110004, China
Corresponding author: ZHAO Yi, E-mail: 2597016916@qq.com
Abstract    Objective    To explore the application of vacuum assisted biopsy (VAB) in nonpalpable breast high-risk lesions. Methods    From January 2015 to December 2016, 1641 nonpalpable breast lesions from 518 patients with Encor guided by ultrasound in Shengjing Hospital, China Medical University were analyzed retrospectively. Results    Pathological tips show adenosis 610（37.2%）, breast fibroma 163（9.9%）, fibroadenosis 668（40.7%）, mesenchymal cells in active growth 32（2.0%），papillary 25（1.5%），dysplasia 89（5.4%）， mastitis 15（0.9%）, 8 cancer（0.5%） and others 31（1.9%）. The patients were followed up for 18-24 months，458 (88.4%) cases were followed up successfully. Color Doppler ultrasound was reviewed every 3 months.No recurrence in high-risk patients,no metastasis in malignant patients. Conclusion    For nonpalpable breast lesion, the VAB is helpful for the diagnosis and treatment, and is more conductive to the detection of high-risk lesions. 

Key words: breast tumor, vacuum-assisted biopsy, high-risk lesion

摘要：

目的    探讨真空辅助旋切系统（VAB）在不可触及乳腺占位性病变中的应用价值。方法    回顾性分析2015年1月至2016 年 12 月中国医科大学附属盛京医院通过超声引导下进行Encor微创旋切术的518例病人，共计1641枚占位性病变的临床资料。结果    术后病理学检查提示乳腺腺病610枚（37.2%），乳腺纤维瘤 163 枚（9.9%），纤维瘤样增生668枚（40.7%），间质细胞生长活跃32枚（2.0%），导管内乳头状瘤25枚（1.5%），不典型增生89枚（5.4%），炎症15枚（0.9%），恶性8枚（0.5%），其他31枚（1.9%）。术后随访18～24个月，成功随访458例（88.4%）。高危病变病人无复发，恶性病变病人无转移。结论    对于不可触及的乳腺占位性病变，VAB在诊断的同时，可达到治疗的作用，同时更有利于高危病变的检出。

关键词: 乳腺肿瘤, 真空辅助旋切系统, 高危病变