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;

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Keywords：

超声; 乳腺; Mammotome

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探讨超声引导下Mammotome微创旋切系统对乳腺病灶进行微创切除的治疗价值。方法:在超声图像监控下,利用Mammotome 系统对680例1900个乳腺肿块进行切除及病理检查,并记录术后随访情况。对其进行回顾性分析,评价其在乳腺微创外科的应用价值。结果:680例1900个乳腺肿块被准确地完全切除,切除组织量大,足够用于病理诊断,术后病理学诊断1例为恶性,其余均为良性。1175个肿块为纤维腺瘤,661个肿块为纤维腺病,19个肿块为导管内乳头状瘤,42个肿块为囊肿及囊性增生,2个肿块为管状腺瘤,1个肿块为乳腺小管癌。术后每3~6个月定期接受复查,术后切口小而隐蔽,瘢痕不明显, 乳腺外形及皮肤感觉正常,超声未发现病灶残留,复发。结论:Mammotome技术对乳腺病灶可进行完整切除,是准确、有效、安全、美观、值得推广的乳腺微创技术。

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.	董立鹏,张晓康,车毅,等.乳晕周围环形切口切除多发性乳腺纤维瘤[J].中华整形外科杂志,2001,17(2):121-123..
2.	王先明,何劲松,郭良峰,等.人性化美容切口在乳房手术中的应用[J].中国现代手术学杂志,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,马步云,苟菊香,等.Mammotome乳腺肿块微创切除术的初步应用[J].临床外科杂志,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,彭玉兰,汪静,等.乳腺肿块微创切除和/或活检的新技术——Mammotome 手术 [J].中国普外基础与临床杂志,2005.12(3):235-237..
8.	李玉阳,洪凡真,王永胜,等. Mammotome在早期乳腺癌原发肿瘤诊断中的应用[J]. 中华肿瘤防治杂志,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.	董国勤,刑春根,方军初,等.多发性乳腺肿块卖默通微创切除术35例分析[J].中国现代医药杂志,2005,7(1):8-10..
12.	时伟锋,周士福.Mammotome乳腺抽吸旋切系统诊治乳腺病变50例临床分析[J]. 重庆医学,2006,35(19):1783..
13.	王红鹰,邹强,周坚,等.超声引导下Mammotome微创旋切系统在乳腺肿瘤诊治中的应用[J].外科理论与实践,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. 董立鹏,张晓康,车毅,等.乳晕周围环形切口切除多发性乳腺纤维瘤[J].中华整形外科杂志,2001,17(2):121-123..
2. 王先明,何劲松,郭良峰,等.人性化美容切口在乳房手术中的应用[J].中国现代手术学杂志,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,马步云,苟菊香,等.Mammotome乳腺肿块微创切除术的初步应用[J].临床外科杂志,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,彭玉兰,汪静,等.乳腺肿块微创切除和/或活检的新技术——Mammotome 手术 [J].中国普外基础与临床杂志,2005.12(3):235-237..
8. 李玉阳,洪凡真,王永胜,等. Mammotome在早期乳腺癌原发肿瘤诊断中的应用[J]. 中华肿瘤防治杂志,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. 董国勤,刑春根,方军初,等.多发性乳腺肿块卖默通微创切除术35例分析[J].中国现代医药杂志,2005,7(1):8-10..
12. 时伟锋,周士福.Mammotome乳腺抽吸旋切系统诊治乳腺病变50例临床分析[J]. 重庆医学,2006,35(19):1783..
13. 王红鹰,邹强,周坚,等.超声引导下Mammotome微创旋切系统在乳腺肿瘤诊治中的应用[J].外科理论与实践,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

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