Ultrasound Positioning Mammary Areola Arc Incision For Multiple Benign Breast Tumor Resection

Purpose: to summarize the areola arc incision hand-painted color Dopplercartography guide bmultiple breast tumor resection of experience and analysisits advantages.Methods: Collect and analyze120breast masses patients of ourhospital from May2011to May2012who were treated,preoperative colorDoppler BI-RADS grading are3, without nipple discharge and at least onemass for more than2(including2),patients were all female, aged18-50years,the average age is29years old,they were randomly divided into group A(experimental group) and group B (control group),60cases in each group.Patients of group A with preoperative CDFI positioning marker marks on thebody surface, and hand-painted color Doppler positioning Figure the positioningposition with the patient supine upper limbs outreach90degrees, cartography isshould be marked with the location of the tumor in the patient’s breast from thenipple and areola distance,the level and depth of the tumor, surgery to take theareola curved incision location map drawn from preoperative guide line breasttumor resection.Patients of group B only do surface pen mark, the areola curved incision surgery for breast tumor resection. Then tumor resection were sent frozen pathology,malignant were excluded from the group.Pathology results of A, B two groupswere recorded respectively,operative time,3days after dressing the wound fluid,nine days after incision healing,3months later after surgery in patients withbreast masses omissions, and do statistical analysis.Results: A group of rapid pathological examination confirmed3breast cancercases of60cases, excluded from the group;57benign lesions cases,including40cases of breast fibroadenoma,12adenosis cases,2cases of intraductalpapilloma,3other benignlesions cases, the average operation time was38minutes;There are18cases whose incision effusion fluid volume is less than5ml in3days,5-10ml in10cases,3cases greater than10ml; nine days aftersurgery,49patients incisionto Category healing,7cases of healing is Category B,1case of Class C healing;3months later postoperative tumor omissions in6cases, no missing mass in51cases.In group B,60cases of rapid pathological examination confirmed2breastcancer cases,excluded from the group; benign lesions in58cases, including42cases of breast fibroadenoma,9cases of breast adenosis,4cases of intraductal papilloma,benign lesions are3cases, the average operation time was52minutes;3days after surgery incision effusion fluid volume less than5ml in25cases,5ml-10ml in16cases, more than10ml in5cases; nine days after the48patients incision healing, to Category A9cases,to Category B healing9cases,to Category C healing1cases; After3months the mass omissions review of13cases, no missing mass in45cases. Two sets data of operation time,the woundfluid situation after three days,tumor missing situations after3months aresignificantly different (P <0.05), with a statistically significant; nine days afterwound healing the data was not statistically significant.Conclusion:1, preoperative color Doppler positioning and hand-painted colorDoppler Doppler positioning guided, take the areola the curved incision linemultiple breast tumor resection can shorten the operation time, reduce surgicaltrauma;2, preoperative color Doppler positioning and hand-painted the colorDoppler positioning guided, takeareola curved incision line multiple breasttumor resection had no effect on the healing of surgical incisions;3,preoperative color Doppler to locate and hand-painted color Doppler Dopplerpositioning guided breast multiple tumor resection can improve the rate oftumor resection.