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Wysłany: Czw 2:01, 17 Mar 2011
Temat postu: puma shoes 51 cases of small breast lesions stereo
51 cases of small breast lesions stereotactic biopsy of B-
Code: B Article ID: l67l-l70X (2004) 04-0283-0l clinically palpable breast lesions. Basis of the reported 20% to 30% for breast cancer. ... B-ultrasound examination and breast stereotactic biopsy and surgery to discover this part of the breast cancer patients, can improve the early detection rate and diagnostic rate, and make up for lack of X-ray. Breast Surgery in our hospital from August 2001 to 2003 a total of l2 months to complete 5l patients (56 sides) of small breast tumors B-guided stereotactic surgical biopsy, are reported as follows: 1 Materials and methods Clinical data: The group of l5 patients are women. Due to cyclical breast pain or breast examination in our hospital clinic, clinical palpation negative, X-ray examination for the type of breast glands, no clear diagnostic imaging mass and high density. B-examinations showed 0-3 ~ 0.6cm small lumps, in the glandular layer. 46 cases were unilateral. 5 cases were bilateral. 23 cases left, right 33, 39 cases of breast upper outer quadrant, the lateral border of the areola in 3 cases, 7 in the upper quadrant of breast, 2 cases under outside quadrant of the breast. Aged 29 to 72 years. The median age of 5l years. Small lumps in the breast and the biopsy location: South on the mass smaller, the gland layer in clinical palpable. We take B-guided stereotactic, to ensure the accuracy of surgery. Patient supine position, the 7-pin, vice l syringe. Blue one. In the B-under the guidance probe to determine the tumor location and design of the needle point, routine disinfection,
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, No. 7 syringe with needle puncture in the B-Direct observation to determine the needle into the tumor, the injection of l ~ 2ml pull out the needle after the blue. Regular disinfection of shop towels. Under local anesthesia,
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, along the eye of a needle for the arc or radial incision. Complete resection of the blue-stained tissue; for frozen section. 2 Results Received :2004-04-05 dance? 0 to arsenic poisoning Journal of 2OO4 post Qu? Zheng l4 negative clinical palpation in this group of small breast lumps are all one-time resection. L cases no residue. Intraoperative frozen section towels ll pathological diagnosis of breast cancer cases (21.57%). Then general anesthesia breast-conserving surgery or modified radical mastectomy, postoperative pathology: 7 cases of ductal carcinoma in situ (DCIS),
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, invasive ductal carcinoma in 4 cases. More than 40 cases were benign. L3 cases in which breast fibroadenoma. Hamartoma in 2 cases. Fibroadenoma of breast hyperplasia with local variable l6 cases. 3 cases of intraductal papilloma. Breast mild and moderate dysplasia in 6 cases, 3 to discuss a wide range of breast screening for the small depth. X-ray examination has been the majority of women, found by X-clinical palpable breast lesions for the kind of sediment samples gathered calcification. High-density mass in mass and a small burr, surgical X-ray stereotactic biopsy of the promotion, the rate of early detection of breast cancer as high as 30% to 48%. Is considered negative clinical palpation of f biopsy of breast lesions the preferred method. However, the clinical existence, we found that the X-ray examination for the type of mammary glands in the case of patients with missed diagnosis, through the B-x, T ~ L gland surgery check and stereotactic biopsy, can indeed be found in another part of the early breast cancer patients well make up for lack of X-ray examination. B-easy to master three-dimensional positioning operation, positioning intuitive, accurate, inexpensive blue staining can be extensively carried out in the grassroots hospitals. Make use of needle localization of breast surgery operation is convenient. By B-occult breast lesions found in this part of the patient,
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, we have regular X-ray examination before surgery, after obtaining the pathology results, the B-ultrasound and X-ray contrast, summarize, and thus further improve the diagnosis of early breast cancer . In short, we believe that B and B-ultrasound guided biopsy, to detect early breast cancer may well be an important way to avoid or reduce the occult breast lesions misdiagnosis.
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