Purpose: Many women fear that breast needle biopsies increase the risk of cancer spread. The purpose of this review article is to discuss the breast cancer literature regarding the risk of needle-biopsy-induced cancer cell displacement and its impact on local and regional recurrence and breast cancer survival. Methods: A literature review is performed to discuss the risks and mitigation of needle-biopsy-induced cancer cell displacement. Results: Needle-biopsy-induced cancer cell displacement is a common event. The risk is influenced by the biopsy technique and the breast cancer type. Evidence suggests that the risk of needle-biopsy-induced cancer cell displacement may potentially increase the odds of local recurrence but has no impact on regional recurrence and long-term survival. Conclusions: Technical modifications of needle biopsy procedures can reduce the risk of breast needle-biopsy-induced cancer cell displacement and potentially reduce the risk of local recurrence, especially in patients for whom whole breast radiation is to be omitted.
目的：许多女性担心乳腺穿刺活检会增加癌症扩散的风险。本文旨在综述有关穿刺活检诱发癌细胞移位的风险及其对局部与区域复发和乳腺癌生存率影响的文献。方法：通过文献综述探讨穿刺活检诱发癌细胞移位的风险及其缓解措施。结果：穿刺活检诱发癌细胞移位是常见现象，其风险受活检技术和乳腺癌类型影响。证据表明，穿刺活检诱发癌细胞移位的风险可能增加局部复发的几率，但对区域复发和长期生存率无影响。结论：通过技术改进可降低乳腺穿刺活检诱发癌细胞移位的风险，并可能减少局部复发，尤其适用于计划省略全乳放疗的患者。
肿瘤(癌症)患者之家