Clinical Application of Ultrasound Localization Combined with Methylene Blue Staining in the Resection of Non-palpable Breast Calcification Lesions
YANG Shuo,GUO Man,ZHANG Hao
Department of Postgraduate, Xinxiang Medical University, Xinxiang 453003, China
Abstract:
Objective To compare the clinical application value of ultrasound-guided methylene blue localization (USMBL) and mammography-guided wire localization (MWL) in non-palpable breast calci.cation lesions (NPBCL). Methods A total of 77 female patients with suspected calci.cation in the breast were selected from the Department of Breast and Thyroid Surgery of Nanyang Central Hospital from November 2019 to March 2021. All enrolled patients had no clear lesions on breast palpation, but ultrasound and mammography suggested suspicious calcification. According to the localization method, 47 cases were divided into the USMBL group and 30 cases were into the MWL group. Surgical resection volume, success rate of complete one-time resection, pathological results of lesions, resection time, incidence of surgical complications and satisfaction rate of postoperative were compared between the two groups. Results The lesions were resected completely by both methods. The success rate of one-time complete resection in the USMBL group was 97.88% (46/47), which was higher than that in the MWL group 83.33% (25/30) (P<0.05). The total resection volume (22.81±14.32) cm3 and calculated resection rate (1.17±0.35) in USMBL group were lower than those in MWL group (31.23 ±15.73) cm3 and (1.58±0.42). The time of lesion resection in USMBL group (12.23±3.02) min was shorter than that in MWL group (15.93±4.68) min. The incidence of operative complications in USMBL group (6.38%) was lower than that in MWL group (23.33%). The postoperative satisfaction in USMBL group (95.74%) was higher than that in MWL group (73.33%) (P<0.05). Conclusion USMBL has the advantages of more accurate localization of NPBCL, high one-time resection rate, short time for surgical resection of lesions, low incidence of operative complications, less resection of normal breast tissue and high satisfaction with patients with small breast appearance after operation. At the same time, compared with the expensive guide wire localization, methylene blue localization price is lower, which is conducive to saving medical resources and reducing the burden of patients, so it is worth popularizing widely in clinic.
