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目的:探讨钼靶摄影导丝定位手术活检在临床不能触及肿块的乳腺病变中的价值及可行性。方法:收集2008年3月～2010年3月延边大学附属医院乳腺外科收治56例女性病人,对钼靶摄影发现的57个临床不能触及的乳腺病灶行导丝定位手术活检及病理检查。结果:57个病灶均一次定位成功,发现乳腺癌17例,占30.4%,轻～中度导管或小叶上皮非典型增生14例,占25.0%。结论:应谨慎处理临床触诊阴性但钼靶摄影异常的乳腺病灶;钼靶摄影导丝定位活检可以发现容易漏诊的早期乳腺癌及癌前病变;该方法简便、准确,值得推广。
OBJECTIVE: To investigate the value and feasibility of mammography guidewire biopsy in breast lesions that are clinically inaccessible to the masses. METHODS: A total of 56 female patients who underwent mammary gland surgery at the Affiliated Hospital of Yanbian University from March 2008 to March 2010 were enrolled. A total of 57 clinically inaccessible breast lesions found in the mammography were surgically guided and pathologically examined. RESULTS: The 57 lesions were successfully localized. 17 cases of breast cancer were found, accounting for 30.4%. Light to moderate ductal or lobular epithelial dysplasia occurred in 14 cases, accounting for 25.0%. Conclusion: Mammary gland lesions with negative palpation but abnormal molybdenum target photography should be handled with caution. The mammography guide wire biopsy can detect early breast cancer and precancerous lesions that are easily missed. This method is simple and accurate and worthy of promotion.