目的 评价B超引导下核心针活检术（CNB）对不可触及的乳腺病变（NPBL）的诊断价值。方法 采用18G Tru-cut针结合活检枪对88例患者的96个NPBL行B超引导下CNB，并与切除活检病理结果比较。结果 NPBL大小4～23mm（平均13.1mm）。在CNB中，86个为良性，2个为可疑恶性，6个为恶性，2个取材不良。在切除活检中9个为恶性，87个为良性。CNB可疑恶变的2个NPBL均为恶性，1个恶性NPBL误诊为乳腺腺病，取材不良的2个NPBL均为良性。本组NPBL中恶性病变占9.38%（9/96），B超引导下CNB对NPBL的良恶性诊断正确率为98.94%（93/94），诊断乳腺癌的敏感性为88.89%（8/9），特异性为100%（8/8），良性病变的病理诊断符合率为97.70%（85/87），取材不良为2.08%（2/96）。结论 B超引导下CNB对NPBL的诊断具有较高的敏感性和特异性，结果准确可靠。
Citation：
曾健,陆云飞,林进令,陈玲. ULTRASOUND GUIDED CORE-NEEDLE BIOPSY OF NONPALPABLE BREAST LESIONS. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2001, 8(5): 340-341. doi:
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- 1. Pijnappel RM, Van Dalen A, Rinkes IH, et al. The diagnostic accuracy of core biopsy in palpable and nonpalpable breast lesions 〔Ｊ〕. Eur J Radiol, 1997; 24(2)∶120.
- 2. Fornage BD. Sonographically guided needle biopsy of nonpalpable breast lesions 〔Ｊ〕. J Clin Ultrasound, 1999; 27(7)∶385.
- 3. Sneige N, Fornage BD, Saleh G. Ultrasoundguided fineneedle aspiration of nonpalpable breast lesions： cytologic and histologic findings 〔Ｊ〕. Am J Clin Pathol, 1994; 102(1)∶98.
- 4. Sneige N, Tulbah A. Accuracy of cytologic diagnosis made from touch imprints of imageguided needle biopsy specimens of nonpalpable breast abnormalities 〔Ｊ〕. Diagn Cytopathol, 2000; 23(1)∶29.
