1731例乳腺肿块细针穿刺诊断的临床应用分析

目的：探讨乳腺肿块细针穿刺细胞学检查（FNAC）的临床应用价值。方法：对2006～2010年的1 731例乳腺肿块细针穿刺细胞学检查结果进行对比分析。结果：1 731例乳腺细针穿刺病例,2009～2010年的病例及阳性病例明显高于2006～2008年,其中924例做了活检对照,恶性肿瘤敏感性为96.68%（233/241）,假阴性率为3.32%（8/241）,无假阳性。FNAC诊断的总准确率为97.29%（899/924）。结论：乳腺肿块细针穿刺诊断技术,操作简易、快速、安全、可靠、价格低廉,可在基层医院及乳腺癌筛查中大力推广。

Clinical value on fine needle aspiration cytology in the diagnosis of 1 731 patients with breast lumps

Objective： To explore the clinical value of fine needle aspiration cytology（FNAC） in the diagnosis of breast lumps.Methods： A total of 1 731 patients with breast lumps from 2006 to 2010 were diagnosed by fine needle aspiration cytology.The results were compared and analyzed.Results： 1 731 cases were given fine needle aspiration cytology,the number of cases and positive cases from 2009 to 2010 were obviously higher than that from 2006 to 2008.924 patients were diagnosed with biopsy.The results showed that the diagnostic sensitivity of malignant tumor was 96.68%（233/241）,the false negative rate was 3.32%（8/241）,and the false positive cases were of not existing.The accurate rate of FNAC diagnostic technology was 97.29%（899/924）.Conclusion： The fine needle aspiration cytology（FNAC） in diagnosing breast lumps,which is simple,fast,secure and reliable,could be largely promoted in the primary hospitals and the screening of breast cancer.