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乳腺肿物针吸细胞学诊断漏误诊原因分析
引用本文:陆作伟,王爱兰,王燕军,左文述,杨爱菊. 乳腺肿物针吸细胞学诊断漏误诊原因分析[J]. 中华肿瘤防治杂志, 2003, 10(7): 738-739
作者姓名:陆作伟  王爱兰  王燕军  左文述  杨爱菊
作者单位:1. 山东省肿瘤医院,检验科,山东,济南,250117
2. 山东省肿瘤医院,外一科,山东,济南,250117
3. 山东省肿瘤医院,普外科,山东,济南,250117
摘    要:目的减少乳腺癌的漏、误诊,提高乳腺癌针吸细胞学诊断的准确性.方法对36例漏、误诊乳腺针吸细胞学涂片进行病理组织学和细胞学对照分析.结果假阴性率5.6%,穿刺技术因素占28%,细胞学诊断因素占60%.结论提高细胞病理学诊断医师的诊断水平和针吸技术是降低漏误诊的主要措施.

关 键 词:纤维囊性病,乳腺/诊断  活组织检查,针吸  误诊  假阴性反应
文章编号:1009-4571(2003)07-0738-02
修稿时间:2003-03-14

Analysis of Reasons of Mis- and Leak-diagnosis for Breast Lump by Fine Needle Aspiration
LU Zuo wei,WANG Ai lan,WANG Yan jun,et al.. Analysis of Reasons of Mis- and Leak-diagnosis for Breast Lump by Fine Needle Aspiration[J]. Chinese Journal of Cancer Prevention and Treatment, 2003, 10(7): 738-739
Authors:LU Zuo wei  WANG Ai lan  WANG Yan jun  et al.
Affiliation:LU Zuo wei,WANG Ai lan,WANG Yan jun,et al.The Tumor Hospital of Shandong,Jinan 250117,China
Abstract:Objective To increase the reliability and decrease the rate of mis and leak diagnosis for breast lump by fine needle aspiration cytology.Methods The reasons of 36 smear slides derived from breast fine needle aspiration which resulted in mis and leak diagnosis were investigated.Results The overall false negative rate was 5 6%.The technology and diagnostic factors were portion of 28% and 60% respectively.Conclusion The improvement of the cytologists' diagnostic technique and the operational technique of fine needle acupuncture is important.
Keywords:fibrocystic disease of breast/diagnosis  biopsy  needle  diagnostic errors  false negative reactions
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