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目的探讨全数字乳腺摄像定位系统(FFDM)对临床触诊阴性乳腺癌的诊治价值。方法经FFDM检查发现临床触诊阴性乳腺癌患者32例,术前均采用FFDM定位系统行病灶穿刺导丝定位并标记病灶大小或X线立体定位穿刺局部美蓝染色后手术活检。结果 32例中,33个病灶均一次性定位成功。病理结果:浸润性导管癌7例,导管内癌伴局灶侵润8例;小叶原位癌1例;导管内癌伴Paget病1例;导管内癌15例(其中1例为双侧)。全组患者均接受了手术。结论 FFDM对临床触诊阴性的乳腺癌具有早期诊断价值。
Objective To investigate the value of FFDM in the diagnosis and treatment of clinical palpation-negative breast cancer. Methods Totally 32 cases of clinical palpation-negative breast cancer were detected by FFDM. Before operation, FFDM localization system was used to locate the lesion and guide the lesion size or X-ray stereotactic biopsy to local biopsy. Results 32 cases, 33 lesions were successfully located a one-time. Pathological findings: invasive ductal carcinoma in 7 cases, ductal carcinoma with focal infiltration in 8 cases; lobular carcinoma in situ in 1 case; ductal carcinoma with Paget disease in 1 case; ductal carcinoma in 15 cases (1 case of bilateral) . All patients underwent surgery. Conclusion FFDM has early diagnostic value in clinical palpation-negative breast cancer.