Diagnostic Accuracy of Ultrasound-guided Core Needle Biopsy for Breast Cancer

乳房超音波定位粗針切片檢查

洪碩徽(Shuo-Hui Hung) ； 李乃信(Nai-Hsin Lee) ； 曾聰明(Chong-Ming Tseng) ； 林家興(Chia-Hsing Lin) ； 陳潤秋(Ran-Chou Chen) ； 周榮茂(Jung-Mao Chou)

《北市醫學雜誌》 5卷1期 (2008/02) Pp. 15-22

https://doi.org/10.6200/TCMJ.2008.5.1.02

摘要

目的：乳房粗針切片術能提供手術前計劃的良好証據。這個研究的主要目的在評估乳房超音波導引下粗針切片術的準確度。方法：回顧分析283位接受乳房超音波導引下粗針切片術的病患。包括16位高危險病變，11位原位癌，及54位浸潤性癌。結果：腫瘤切除後有3位高危險病變確診為乳癌，3位原位癌發現有浸潤性癌。結論：乳房超音波導引下粗針切片術是一項可信度高且容易操作的技術。最重要限制是可能對於乳癌的低估。良好的放射科、乳房外科、病理科的協調才能提升準確度。

關鍵字

粗針切片 ； 乳房超音波 ； 乳癌

並列摘要

Background and Purpose: The goal of percutaneous breast core needle biopsy (CNB) is to allow accurate planning of a single stage definitive surgery. The purpose of this study is to evaluate the underestimation rate of ultrasound (US)-guided core needle biopsy (CNB) in detection of the breast lesion. Methods: 283 cases received CNB under US guidance were analyzed retrospectively. 81 patients underwent additional surgery. These included 16 cases of high risk group, 11 cases of ductal carcinoma in situ (DCIS) and 54 cases of invasive carcinoma. Results: 3 of the 16 patients with high risk lesions by CNB were upstaged to carcinoma and 3 of the 11 patients with DCIS were discovered with occult invasion. There is no false positive case in our study. Conclusion: We further confirmed US detected breast lesion can be easily assessed by US-guided biopsy. CNB is a reliable and easily performed method without significant complications. The effective communication of radiologist, surgeon and pathologist is critical for the success of an interventional breast biopsy program.

並列關鍵字

core needle biopsy ； ultrasound ； breast cancer