切换至 "中华医学电子期刊资源库"

中华医学超声杂志(电子版) ›› 2023, Vol. 20 ›› Issue (11) : 1207 -1210. doi: 10.3877/cma.j.issn.1672-6488.2023.11.017

综述

超声引导下真空辅助旋切术在乳腺疾病诊断和治疗中的应用
付乃芹, 王知力()   
  1. 100853 北京,解放军总医院第一医学中心超声诊断科
  • 收稿日期:2022-09-05 出版日期:2023-11-01
  • 通信作者: 王知力
  • 基金资助:
    国家自然科学基金(82071925); 军队保健专项课题(22BJZ23)

Application of ultrasound-guided vacuum-assisted breast biopsy in diagnosis and treatment of breast lesions

Naiqin Fu, Zhili Wang()   

  • Received:2022-09-05 Published:2023-11-01
  • Corresponding author: Zhili Wang
引用本文:

付乃芹, 王知力. 超声引导下真空辅助旋切术在乳腺疾病诊断和治疗中的应用[J]. 中华医学超声杂志(电子版), 2023, 20(11): 1207-1210.

Naiqin Fu, Zhili Wang. Application of ultrasound-guided vacuum-assisted breast biopsy in diagnosis and treatment of breast lesions[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(11): 1207-1210.

近年来,随着临床医学和医学工程学的不断发展进步,肿瘤介入诊疗逐渐成为医学研究的前沿和热点方向,其中乳腺疾病微创诊疗的效果已获得肯定,尤其是空芯针穿刺活检(core needle biopsy,CNB)和真空辅助旋切术(vacuum-assisted breast biopsy,VABB),已被医师和患者普遍接受。VABB的核心装置为由旋转刀具和配套抽气孔的空芯活检针所组成的旋切针。负压吸引将组织吸进刀槽内,然后使用旋转刀具将组织切割成条状,运送至收集篮。VABB操作过程简便,1次穿刺即可以获得足量的组织样本,不需要反复多次穿刺1,它既能满足良性疾病的治疗目标,又能通过对大多数乳房病灶进行近似完全切除,提高了诊断准确性,同时也最大限度地减少了术后瘢痕形成和并发症的发生2。目前VABB在国内外被乳腺外科、肿瘤科和超声科等多个科室广泛应用。本文对VABB在乳腺疾病诊断和治疗中的应用进行述评,为进一步临床研究提供参考。

1
Bennett IC, Saboo A. The evolving role of vacuum assisted biopsy of the breast: a progression from fine-needle aspiration biopsy [J]. World J Surg, 2019, 43(4): 1054-1061.
2
Park HL, Kim KY, Park JS, et al. Clinicopathological analysis of ultrasound-guided vacuum-assisted breast biopsy for the diagnosis and treatment of breast disease [J]. Anticancer Res, 2018, 38(4): 2455-2462.
3
中国抗癌协会乳腺癌专业委员会. 中国抗癌协会乳腺癌诊治指南与规范(2021年版) [J]. 中国癌症杂志, 2021, 31(10): 954-1040.
4
Gradishar WJ, Moran MS, Abraham J, et al. NCCN Guidelines® Insights: Breast Cancer, Version 4.2021 [J]. J Natl Compr Canc Netw, 2021, 19(5): 484-493.
5
Kim MJ, Kim D, Jung W, et al. Histological analysis of benign breast imaging reporting and data system categories 4c and 5 breast lesions in imaging study [J]. Yonsei Med J, 2012, 53(6): 1203-1210.
6
Wang M, He X, Chang Y, et al. A sensitivity and specificity comparison of fine needle aspiration cytology and core needle biopsy in evaluation of suspicious breast lesions: a systematic review and meta-analysis [J]. Breast, 2017, 31: 157-166.
7
Houssami N, Ciatto S, Ellis I, et al. Underestimation of malignancy of breast core-needle biopsy: concepts and precise overall and category-specific estimates [J]. Cancer, 2007, 109(3): 487-495.
8
Huang XC, Hu XH, Wang XR, et al. A comparison of diagnostic performance of vacuum-assisted biopsy and core needle biopsy for breast microcalcification: a systematic review and meta-analysis [J]. Ir J Med Sci, 2018, 187(4): 999-1008.
9
Wang ZL, Liu G, Li JL, et al. Breast lesions with imaging-histologic discordance during 16-gauge core needle biopsy system: would vacuum-assisted removal get significantly more definitive histologic diagnosis than vacuum-assisted biopsy? [J]. Breast J, 2011, 17(5): 456-461.
10
Nakano S, Otsuka M, Mibu A, et al. Significance of fine needle aspiration cytology and vacuum-assisted core needle biopsy for small breast lesions [J]. Clin Breast Cancer, 2015, 15(1): e23-e26.
11
Londero V, Zuiani C, Linda A, et al. Borderline breast lesions: comparison of malignancy underestimation rates with 14-gauge core needle biopsy versus 11-gauge vacuum-assisted device [J]. Eur Radiol, 2011, 21(6): 1200-1206.
12
Li JL, Wang ZL, Su L, et al. Breast lesions with ultrasound imaging-histologic discordance at 16-gauge core needle biopsy: can re-biopsy with 10-gauge vacuum-assisted system get definitive diagnosis? [J]. Breast, 2010, 19(6): 446-449.
13
王知力, 刘刚, 万文博, 等. 真空辅助活检对空心针活检病理结果与超声诊断存在差异的乳腺占位性病变的诊断研究 [J]. 中国医学影像学杂志, 2011, 19(2): 100-103.
14
Suh YJ, Kim MJ, Kim EK, et al. Comparison of the underestimation rate in cases with ductal carcinoma in situ at ultrasound-guided core biopsy: 14-gauge automated core-needle biopsy vs 8- or 11-gauge vacuum-assisted biopsy [J]. Br J Radiol, 2012, 85(1016): e349-e356.
15
Lomoschitz FM, Helbich TH, Rudas M, et al. Stereotactic 11-gauge vacuum-assisted breast biopsy: influence of number of specimens on diagnostic accuracy [J]. Radiology, 2004, 232(3): 897-903.
16
Lourenco AP, Mainiero MB, Lazarus E, et al. Stereotactic breast biopsy: comparison of histologic underestimation rates with 11- and 9-gauge vacuum-assisted breast biopsy [J]. AJR Am J Roentgenol, 2007, 189(5): W275-W279.
17
Nakano S, Imawari Y, Mibu A, et al. Differentiating vacuum-assisted breast biopsy from core needle biopsy: is it necessary? [J]. Br J Radiol, 2018, 91(1092): 20180250.
18
Parker SH, Burbank F, Jackman RJ, et al. Percutaneous large-core breast biopsy: a multi-institutional study [J]. Radiology, 1994, 193(2): 359-364.
19
El-Wakeel H, Umpleby HC. Systematic review of fibroadenoma as a risk factor for breast cancer [J]. Breast, 2003, 12(5): 302-307.
20
Park HL, Pyo YC, Kim KY, et al. Recurrence rates and characteristics of phyllodes tumors diagnosed by ultrasound-guided vacuum-assisted breast biopsy (VABB) [J]. Anticancer Res, 2018, 38(9): 5481-5487.
21
Hu H, Zhang M, Liu Y, et al. Mammary hamartoma: is ultrasound-guided vacuum-assisted breast biopsy sufficient for its treatment? [J]. Gland Surg, 2020, 9(5): 1278-1285.
22
王知力, 李俊来, 苏莉, 等. 超声引导下真空辅助旋切系统在乳腺纤维腺瘤治疗中的应用 [J/CD]. 中华医学超声杂志(电子版), 2009, 6(1): 54-58.
23
Wang ZL, Liu G, Li JL, et al. Sonoimagedataally guided percutaneous excision of clinically benign breast masses [J]. J Clin Ultrasound, 2011, 39(1): 1-5.
24
Wang ZL, Li JL, Su L, et al. An evaluation of a 10-gauge vacuum-assisted system for ultrasound-guided excision of clinically benign breast lesions [J]. Breast, 2009, 18(3): 192-196.
25
Shang QJ, Li N, Zhang MK, et al. Ultrasound-guided vacuum-assisted excisional biopsy to treat benign phyllodes tumors [J]. Breast, 2020, 49: 242-245.
26
Rageth CJ, O'Flynn E, Pinker K, et al. Second International Consensus Conference on lesions of uncertain malignant potential in the breast (B3 lesions) [J]. Breast Cancer Res Treat, 2019, 174(2): 279-296.
27
Ravakhah K, Javadi N, Simms R. Hamartoma of the breast in a man: first case report [J]. Breast J, 2001, 7(4): 266-268.
28
Bianchi S, Caini S, Renne G, et al. Positive predictive value for malignancy on surgical excision of breast lesions of uncertain malignant potential (B3) diagnosed by stereotactic vacuum-assisted needle core biopsy (VANCB): a large multi-institutional study in Italy [J]. Breast, 2011, 20(3): 264-270.
29
Schiaffino S, Gristina L, Villa A, et al. Flat epithelial atypia: conservative management of patients without residual microcalcifications post-vacuum-assisted breast biopsy [J]. Br J Radiol, 2018, 91(1081): 20170484.
30
Wang ZL, Liu G, He Y, et al. Ultrasound-guided 7-gauge vacuum-assisted core biopsy: could it be sufficient for the diagnosis and treatment of intraductal papilloma? [J]. Breast J, 2019, 25(5): 807-812.
31
王知力, 万文博, 刘晓俊. 超声引导下微创旋切治疗在乳腺导管内乳头状瘤的应用 [J]. 中国超声医学杂志, 2011, 27(10): 900-902.
32
Murphy BL, Day CN, Hoskin TL, et al. Neoadjuvant chemotherapy use in breast cancer is greatest in excellent responders: triple-negative and HER2+ subtypes [J]. Ann Surg Oncol, 2018, 25(8): 2241-2248.
33
Symmans WF, Wei C, Gould R, et al. Long-term prognostic risk after neoadjuvant chemotherapy associated with residual cancer burden and breast cancer subtype [J]. J Clin Oncol, 2017, 35(10): 1049-1060.
34
Tasoulis MK, Lee HB, Yang W, et al. Accuracy of post-neoadjuvant chemotherapy image-guided breast biopsy to predict residual cancer [J]. JAMA Surg, 2020, 155(12): e204103.
35
Heil J, Schaefgen B, Sinn P, et al. Can a pathological complete response of breast cancer after neoadjuvant chemotherapy be diagnosed by minimal invasive biopsy? [J]. Eur J Cancer, 2016, 69: 142-150.
36
Zagouri F, Sergentanis TN, Domeyer P, et al. Volume of blood suctioned during vacuum-assisted breast biopsy predicts later hematoma formation [J]. BMC Res Notes, 2010, 3: 70.
37
Yao F, Li J, Wan Y, et al. Sonoimagedataally guided vacuum-assisted breast biopsy for complete excision of presumed benign breast lesions [J]. J Ultrasound Med, 2012, 31(12): 1951-1957.
38
Peng Y, Xie F, Zhao Y, et al. Clinical practice guideline for breast fibroadenoma: Chinese Society of Breast Surgery (CSBrS) practice guideline 2021 [J]. Chin Med J (Engl), 2021, 134(9): 1014-1016.
39
万文博, 王知力, 李俊来, 等. 乳腺真空辅助旋切术后并发血肿的预后及影响因素分析 [J]. 中国医学影像学杂志, 2014, 22(10): 735-738.
40
Simon JR, Kalbhen CL, Cooper RA, et al. Accuracy and complication rates of US-guided vacuum-assisted core breast biopsy: initial results [J]. Radiology, 2000, 215(3): 694-697.
No related articles found!
阅读次数
全文


摘要