Klinik okült meme lezyonlarında spesmen radyografilerinin etkinliği

Amaç: Klinik okült meme lezyonlarında cerrahi sonrası elde edilen spesmen radyografilerinin etkinliği araştırıldı. Hastalar ve Yöntemler: Çalışmamızda çeşitli meme yakınmaları nedeniyle yapılan mamografi ya da ultrasonografi tetkiklerinde saptanan lezyonlara yönelik stereotaksi ve ultrasonografi eşliğinde işaretleme yapılan 215 olguda (ort. yaş 48.64±8.4; dağılım 28-75) cerrahi eksizyon sonrası elde edilen spesmen radyografileri değerlendirildi. İşaretleme 59 olguda (%27.4) ultrasonografi, 156 olguda (%72.6) stereotaksi rehberliğinde yapıldı. Sonuçlar histopatolojik tanılarla karşılaştırıldı. Bulgular: Üç olgu dışında tüm olgularda spesmen radyografilerinin lezyonları gösterebildiği görüldü. Lezyonların gösterilemediği bu üç olgunun kontrol mamografilerinde memede lezyon saptanmadı. Sonuç: Spesmen radyografileri klinik okült meme lezyonlarının cerrahi olarak çıkarılıp çıkarılmadığını saptamada güvenilir bir yöntemdir.

Anahtar Kelimeler:

Mammografi, Biyopsi, Meme neoplazmları, Ultrasonografi, Stereotaksik teknikler

The efficacy of specimen radiography in clinically occult breast lesions

Objectives: The aim of this study was to evaluate the efficacy of specimen radiography for clinically occult breast lesions. Patients and Methods: We retrospectively evaluated specimen radiographs of 215 patients (mean age 48.64±8.4 years; range 28 to 75 years) whose lesions were detected by mammography and/or ultrasonography and localized by wire. Preoperative wire localization was performed under the guidance of ultrasonography in 59 cases (27.4%) and stereotactically in 156 cases (72.6%). The findings of specimen radiography were compared with those of histopathologic examination. Results: Specimen radiographs showed lesions in all but three cases. In these three cases, no breast lesions were found in control mammographies. Conclusion: Breast biopsy specimen radiography is a safe method to ensure complete excision of clinically occult breast lesions.

Keywords:

Mammography, Biopsy, Breast Neoplasms, Ultrasonography, Stereotaxic Techniques,

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