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首页> 外文期刊>Journal of Clinical Medicine Research >Diagnostic Value of Hook Wire Localization Technique for Non-Palpable Breast Lesions
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Diagnostic Value of Hook Wire Localization Technique for Non-Palpable Breast Lesions

机译：钩线定位技术对不可触及的乳腺病变的诊断价值

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Background: The aim of this study was to investigate the validity of hook wire localization biopsy for non-palpable breast lesions which were detected by ultrasonography (USG) or mammography (MMG).Methods: In this retrospective study, USG or MMG-guided hook wire localization technique was performed on 83 patients who had non-palpable breast lesions. Then histopathological examination was performed on surgically removed specimens. All patients’ mammograms or ultrasonograms were categorized using Breast Imaging-Reporting and Data System (BI-RADS) classification.Results: Radiologically, 27 (32.53%) patients were classified as BI-RADS 3, 49 (59.04%) BI-RADS 4, one (1.2%) BIRADS 5 and six (7.23%) BI-RADS 0. Histopathological results were benign in 68 (81.9%) and malignant in 15 (18.1%) patients. Twenty-seven patients were classified as BI-RADS 3 and definitive diagnoses for all were benign. Besides, 49 patients were classified as BI-RADS 4 and histopathologically 14 of them were reported as malignant, and 35 as benign. Sensitivity of MMG was 93% and specificity was 55%. For USG, the sensitivity was 100% and the specificity was 73%.Conclusion: In early diagnosis of breast cancer, the validity of the imaging-guided hook wire localization biopsy of non-palpable breast lesions has been proved. The cooperation of surgeon, radiologist and pathologist increases the successfull results of hook wire localization technique.J Clin Med Res. 2016;8(5):389-395doi: http://dx.doi.org/10.14740/jocmr2498w
机译：背景：这项研究的目的是调查钩线定位活检在超声检查（USG）或乳腺X线摄影（MMG）检测到的不可触及的乳腺病变中的有效性。方法：在这项回顾性研究中，使用USG或MMG引导的钩线定位技术在83例无法触及的乳腺病变患者中进行。然后对手术切除的标本进行组织病理学检查。所有患者的乳房X线照片或超声检查图均按乳房成像报告和数据系统（BI-RADS）分类。结果：放射学上，有27例（32.53％）患者被归为BI-RADS 3，49例（59.04％）BI-RADS 4 ，一（1.2％）BIRADS 5和六（7.23％）BI-RADS0。68例（81.9％）为良性，15例（18.1％）为恶性。 27例患者被归类为BI-RADS 3，所有患者的明确诊断均为良性。此外，有49例患者被归类为BI-RADS 4，在组织病理学上据报道其中14例为恶性，35例为良性。 MMG的敏感性为93％，特异性为55％。对于USG，其敏感性为100％，特异性为73％。结论：在乳腺癌的早期诊断中，已经证实了影像学引导的钩丝定位活检对不可触及的乳腺病变的有效性。外科医生，放射科医生和病理学家的合作增加了钩丝定位技术的成功成果。JClin Med Res。 2016; 8（5）：389-395doi：http://dx.doi.org/10.14740/jocmr2498w

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