Analysis of 680 Patients with Breast Tumor Using Mammotome Minimally Invasive Stereotactic Excision Therapy_West China Medical Journal

Authors：

1.Thyroid Breast Surgery, West China Hospital, Sichuan University, Chengdu 610041; 2.West China School of Medicine, Sichuan University, Chengdu 610041; 3.Maternal and Child Health Hospital of Jianyang; 4.the Department of Ultrasound, West China Hospital, Sichuan University, Chengdu 61004, China;

Corresponding?author：

Keywords：

超聲; 乳腺; Mammotome

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

探討超聲引導下Mammotome微創旋切系統對乳腺病灶進行微創切除的治療價值。方法:在超聲圖像監控下,利用Mammotome 系統對680例1900個乳腺腫塊進行切除及病理檢查,并記錄術后隨訪情況。對其進行回顧性分析,評價其在乳腺微創外科的應用價值。結果:680例1900個乳腺腫塊被準確地完全切除,切除組織量大,足夠用于病理診斷,術后病理學診斷1例為惡性,其余均為良性。1175個腫塊為纖維腺瘤,661個腫塊為纖維腺病,19個腫塊為導管內乳頭狀瘤,42個腫塊為囊腫及囊性增生,2個腫塊為管狀腺瘤,1個腫塊為乳腺小管癌。術后每3~6個月定期接受復查,術后切口小而隱蔽,瘢痕不明顯, 乳腺外形及皮膚感覺正常,超聲未發現病灶殘留,復發。結論:Mammotome技術對乳腺病灶可進行完整切除,是準確、有效、安全、美觀、值得推廣的乳腺微創技術。

Citation： LONG Quanyi,ZHANG Haiyan,QIN Ping,et al.. Analysis of 680 Patients with Breast Tumor Using Mammotome Minimally Invasive Stereotactic Excision Therapy. West China Medical Journal, 2009, 24(9): 2373-2375. doi: Copy

1.	董立鵬,張曉康,車毅,等.乳暈周圍環形切口切除多發性乳腺纖維瘤[J].中華整形外科雜志,2001,17(2):121-123..
2.	王先明,何勁松,郭良峰,等.人性化美容切口在乳房手術中的應用[J].中國現代手術學雜志,2003,7(6):409-412..
3.	BAEZ E, HUBER A, VETTER M, et al. Minimal invasive complete excision of benign breast tumors using a threedimensional ultrasoundguided mammotome vacuum device [J]. Ultrasound Obstet Gynecol,2003,21(3):267-272..
4.	FINE R E, WHITWORTH P W, KIM J A, et al. Lowrisk palpable breast masses removed using a vacuumassisted handheld device[J]. Am J Surg,2003,186(4):362-367..
5.	李宏江,馬步云,茍菊香,等.Mammotome乳腺腫塊微創切除術的初步應用[J].臨床外科雜志,2O05,13(10):634-636..
6.	FINE R E, BOYD B A, WHITWORTH P W, et al. Percutaneous removal of benign breast masses using a vacuumassisted handheld device with ultrasound guidance [J]. Am J Surg,2002,184(4):332-336..
7.	李宏江,彭玉蘭,汪靜,等.乳腺腫塊微創切除和/或活檢的新技術——Mammotome 手術 [J].中國普外基礎與臨床雜志,2005.12(3):235-237..
8.	李玉陽,洪凡真,王永勝,等. Mammotome在早期乳腺癌原發腫瘤診斷中的應用[J]. 中華腫瘤防治雜志,2007,14(9):706-708..
9.	CHUN K, VELANOVICH V. Patientperceived cosmesis and satisfaction after breast biopsy: comparison of stereotactic incisional, excisional, and wirelocalized biopsy techniques[J]. Surgery,2002,131(5)∶497-501..
10.	MARIOTTI C, FELICIOTTI F, BALDARELLI M, et al. Digital stereotactic biopsies for nonpalpable breast lesion[J].Surg Endosc,2003,17(6)∶911-917..
11.	董國勤,刑春根,方軍初,等.多發性乳腺腫塊賣默通微創切除術35例分析[J].中國現代醫藥雜志,2005,7(1):8-10..
12.	時偉鋒,周士福.Mammotome乳腺抽吸旋切系統診治乳腺病變50例臨床分析[J]. 重慶醫學,2006,35(19):1783..
13.	王紅鷹,鄒強,周堅,等.超聲引導下Mammotome微創旋切系統在乳腺腫瘤診治中的應用[J].外科理論與實踐,2006,11(2):123-126..
14.	HOORNTJE L E, PEETERS P H, MALI W P, et al. Vacuumassisted breast biopsy: a critical review[J]. Eur J Cancer,2003,39:1676-1683.

1. 董立鵬,張曉康,車毅,等.乳暈周圍環形切口切除多發性乳腺纖維瘤[J].中華整形外科雜志,2001,17(2):121-123..
2. 王先明,何勁松,郭良峰,等.人性化美容切口在乳房手術中的應用[J].中國現代手術學雜志,2003,7(6):409-412..
3. BAEZ E, HUBER A, VETTER M, et al. Minimal invasive complete excision of benign breast tumors using a threedimensional ultrasoundguided mammotome vacuum device [J]. Ultrasound Obstet Gynecol,2003,21(3):267-272..
4. FINE R E, WHITWORTH P W, KIM J A, et al. Lowrisk palpable breast masses removed using a vacuumassisted handheld device[J]. Am J Surg,2003,186(4):362-367..
5. 李宏江,馬步云,茍菊香,等.Mammotome乳腺腫塊微創切除術的初步應用[J].臨床外科雜志,2O05,13(10):634-636..
6. FINE R E, BOYD B A, WHITWORTH P W, et al. Percutaneous removal of benign breast masses using a vacuumassisted handheld device with ultrasound guidance [J]. Am J Surg,2002,184(4):332-336..
7. 李宏江,彭玉蘭,汪靜,等.乳腺腫塊微創切除和/或活檢的新技術——Mammotome 手術 [J].中國普外基礎與臨床雜志,2005.12(3):235-237..
8. 李玉陽,洪凡真,王永勝,等. Mammotome在早期乳腺癌原發腫瘤診斷中的應用[J]. 中華腫瘤防治雜志,2007,14(9):706-708..
9. CHUN K, VELANOVICH V. Patientperceived cosmesis and satisfaction after breast biopsy: comparison of stereotactic incisional, excisional, and wirelocalized biopsy techniques[J]. Surgery,2002,131(5)∶497-501..
10. MARIOTTI C, FELICIOTTI F, BALDARELLI M, et al. Digital stereotactic biopsies for nonpalpable breast lesion[J].Surg Endosc,2003,17(6)∶911-917..
11. 董國勤,刑春根,方軍初,等.多發性乳腺腫塊賣默通微創切除術35例分析[J].中國現代醫藥雜志,2005,7(1):8-10..
12. 時偉鋒,周士福.Mammotome乳腺抽吸旋切系統診治乳腺病變50例臨床分析[J]. 重慶醫學,2006,35(19):1783..
13. 王紅鷹,鄒強,周堅,等.超聲引導下Mammotome微創旋切系統在乳腺腫瘤診治中的應用[J].外科理論與實踐,2006,11(2):123-126..
14. HOORNTJE L E, PEETERS P H, MALI W P, et al. Vacuumassisted breast biopsy: a critical review[J]. Eur J Cancer,2003,39:1676-1683.

West China Medical Journal

Analysis of 680 Patients with Breast Tumor Using Mammotome Minimally Invasive Stereotactic Excision Therapy

Abstract Full text Figures/Tables Video References Cited by

Format

Content