HIỆU QUẢ CỦA SINH THIẾT CÓ HỖ TRỢ HÚT CHÂN KHÔNG DƯỚI HƯỚNG DẪN SIÊU ÂM TRONG CHẨN ĐOÁN MỘT SỐ U TUYẾN VÚ

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Tác giả: Nguyệt Minh Lê, Thị Xoan Nguyễn, Xuân Hiền Nguyễn, Thị Bính Thìn Quản, Hải Bình Trần, Hữu Khiêm Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Điện quang và Y học hạt nhân Việt Nam, 2024

Mô tả vật lý: tr.24-31

Bộ sưu tập: Metadata

ID: 414735

Thêm vào giỏ Liên kết toàn văn

Background: Vacuum-assisted breast biopsy (VABB) has now been used more and more widely to obtain an early diagnosis of breast cancer and exact results for other lesions in the breast. Objective: This study aims to evaluate the efficacy of ultrasoundguided vacuum-assisted biopsy in the diagnosis of several breast diseases. Methods: A cross-sectional descriptive study was conducted on 108 women (mean age 41,6) with 188 breast lesions classified as BIRADS 3 or higher and were taken by VABB at Tam Anh Hanoi General Hospital from February 2022 to March 2023. Results: The mean largest size was 12,6mm. The lesions classified as BIRADS 3 account for 52,6%, while the remainder are classified as BIRADS 4 or higher. 20,7% of lesions were applied markers after being removed. Histopathological results after VABB showed 3 carcinomas which were 100% compatible with the subsequent surgical results, while the rest were benign fibroadenomas and benign fibrocystic changes. The average cutting time for each tumor was 9,7 minutes, and the average anesthetic dose per lesion was 1,8 ml. Following the biopsy of the entire lesion, the hematoma was found to be 14,1mm and 4,6mm in width and thickness respectively. The mean post-procedural pain score was 1,2, which was well controlled by conventional NSAIDs without any further intervention. Conclusion: VABB is a safe, simple and effective method to figure out breast histopathologic results with 100% accuracy.Đặt vấn đề: Sinh thiết vú có hỗ trợ hút chân không ngày càng được sử dụng rộng rãi để chẩn đoán sớm ung thư vú và chẩn đoán chính xác các tổn thương khác của vú. Mục tiêu: Đánh giá hiệu quả của phương pháp sinh thiết hút chân không dưới hướng dẫn siêu âm trong chẩn đoán một số bệnh tuyến vú. Phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 108 phụ nữ (tuổi trung bình 41,6) được sinh thiết có hỗ trợ hút chân không 188 tổn thương vú phân loại BIRADS 3 trở lên tại bệnh viện đa khoa Tâm Anh Hà Nội từ tháng 2 năm 2022 đến tháng 3 năm 2023. Kết quả: 188 tổn thương, kích thước lớn nhất trung bình là 12,6mm, có 52,6% tổn thương được phân loại BIRADS 3, còn lại là phân loại từ BIRADS 4 trở lên, có 20,7% tổn thương được đặt marker sau khi lấy hết tổn thương. Kết quả mô bệnh học cho thấy có 8 tổn thương là ung thư biểu mô phù hợp 100% với kết quả phẫu thuật sau đó, còn lại là u xơ tuyến vú lành tính và biến đổi xơ nang lành tính. Thời gian cắt mỗi u trung bình là 9,7 phút, lượng thuốc gây tê trung bình là 1,8ml cho mỗi tổn thương. Sau sinh thiết hút toàn bộ tổn thương, chiều rộng máu tụ trung bình là 14,1mm và chiều dày trung bình là 4,6mm. Điểm đau sau thủ thuật trung bình là 1,2, không chế tốt bằng thuốc giảm đau NSAIDs thông thường, không có trường hợp nào cần can thiệp thêm. Kết luận: Sinh thiết hút chân không u tuyến vú là phương pháp an toàn, đơn giản và hiệu quả chẩn đoán mô bệnh học chính xác 100% các tổn thương ở vú.

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