ojrdrtОнкологический журнал: лучевая диагностика, лучевая терапияJournal of oncology: diagnostic radiology and radiotherapy2587-75932713-167XНЕКОММЕРЧЕСКОЕ ПАРТНЕРСТВО «ОБЩЕСТВО ИНТЕРВЕНЦИОННЫХ ОНКОРАДИОЛОГОВ»10.37174/2587-7593-2018-1-3-66-70ojrdrt-42Research ArticleИНТЕРВЕНЦИОННАЯ РАДИОЛОГИЯINTERVENTIONAL RADIOLOGYВозможности интервенционных технологий в диагностике внутрипротокового рака молочной железыPossibilities of Interventional Technologies in the Diagnosis of Ductal Carcinoma in situ of the BreastПонедельниковаН. В.PonedelnikovaN. V.npnd@mail.ruКорженковаГ. П.KorghenkovaG. P.КарповаМ. С.KarpovaM. S.Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина Минздрава РФРоссияN.N. Blokhin National Medical Research Center of OncologyRussian Federation201830092018136670Copyright © Понедельникова Н.В., Корженкова Г.П., Карпова М.С., 20182018Понедельникова Н.В., Корженкова Г.П., Карпова М.С.Ponedelnikova N.V., Korghenkova G.P., Karpova M.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.oncoradjournal.ru/jour/article/view/42Цель

Цель: Оценить возможности различных методов чрескожной биопсии в предоперационной диагностике неинвазивного внутрипротокового рака молочной железы (РМЖ) (DCIS – Ductal Carcinoma In Situ).

Материал и методы

Материал и методы: Проанализированы результаты 34 чрескожных пункционных биопсий, выполненных у 30 больных с подозрением на DCIS. Всем пациентам на предоперационном этапе в зависимости от рентгено-сонографических признаков выполнялись различные виды интервенционных вмешательств, включающие тонкоигольную аспирационную биопсию (ТАБ), coreбиопсию, вакуумную биопсию. Достоверность анализа основана на сопоставлении данных морфологического исследования, полученных на предоперационном этапе, с результатами планового гистологического изучения операционного материала.

Результаты

Результаты: В предоперационной диагностике DCIS биопсия со вспомогательным вакуумом и core-биопсия как методы гистологической верификации превосходят по своей эффективности ТАБ. Точность core-биопсии составила 66,7 %, биопсии со вспомогательным вакуумом – 96 %.

Выводы

Выводы: Адекватное использование интервенционных технологий в алгоритме обследования больных на предоперационном этапе позволяет правильно планировать последующую тактику лечения больных РМЖ с учетом всех общемировых стандартов.

Purpose

Purpose: To determinate the accuracy percutaneous methods breast biopsies in the diagnosis of DCIS.

Material and methods

Material and methods: We reviewed a series of 30 women with DCIS who performed breast biopsy under mammographic and ultrasonographic guidance. The biopsy findings were compared with surgical biopsy.

Results

Results: Vacuum-assisted breast biopsy is an accurate diagnostic alternative to surgical biopsy in patients with noninvasive carcinoma. The accuracy of fine needle aspiration is relatively low. The accuracy for core biopsy was significantly lower than that of vacuum-assisted biopsy (66.7 % versus 96 %).

Conclusion

Conclusion: Rational using imaged-guided breast biopsy allows to determinate strategy of the treatment patients with DCIS.

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The authors declare that there are no conflicts of interest present.