448例乳腺肿块细针吸取细胞学诊断分析 |
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引用本文: | 付春林,李军川,戴桂华. 448例乳腺肿块细针吸取细胞学诊断分析[J]. 陕西肿瘤医学, 2009, 17(9): 1684-1687 |
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作者姓名: | 付春林 李军川 戴桂华 |
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作者单位: | 荆州市肿瘤医院病理科细胞室,湖北荆州434007 |
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摘 要: | 目的:探讨细针吸取细胞学(fine needle aspiration cytology FNAC)对乳腺肿块的诊断价值,提高其诊断准确率。方法:回顾性分析湖北省荆州市肿瘤医院病理科细胞室2004年9月-2007年9月间448例有术后组织病理学诊断证实的乳腺肿块FNAC资料。结果:FNAC诊断敏感度96.1%,特异度96.9%,假阴性率3.9%,假阳性率3.1%,总准确率96.7%,穿刺取材成功率99.33%,乳腺癌明确诊断率75.97%;急性乳腺炎、乳腺囊肿、乳汁潴留囊肿、男性乳腺发育和大部分乳腺纤维腺瘤特异度100%且能确定组织学类型。结论:FNAC对乳腺肿块良恶性质的诊断准确率很高,对一些乳腺癌诊断准确,可以部分替代乳腺癌术中冰冻切片,对部分良性肿块可以确定组织学类型。
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关 键 词: | 乳腺肿块 细针吸取细胞学 乳腺癌 组织病理学 诊断 |
Diagnostic analysis of 448 breast masses by fine needle aspiration cytology |
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Affiliation: | FU Chun - lin, LI Jun - chuan, DAI Gui - hua (Department of Pathology, Tumor Hospital of Jingzhou City ,Jingzhou 434007, China.) |
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Abstract: | Objective:To discuss the diagnosing value of fine needle aspiration cytology (FNAC) in the breast mass,to improve its diagnostic accuracy rate. nathods:To restrospectively analyze the FNAC data in 448 cases of breast masses confirmed by histopathologic diagnosis . Results:The diagnostic sensitivity of FNAC was 96.1% ,the specificity was 96. 9% ,the false negative rate was 3.9% ,false positive rate was 3.1% ,the overall accuracy was 96.7%, the puncture successful rate was 99.33% ,the definite diagnostic rate of breast cacer was 75.97%. Not only the specificity of all acute mastitics, mammary cysts, galactocele, gynecomastia and most of fibroadenoma was 100%, but also their histological type can be determined. Conclusion: There has been very high accuracy to diagnose whether breast mass is benign or malignant by FNAC,and histologic type of some benign masses can be determined too. |
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Keywords: | breast mass fine needle aspiration cytology breast cancer histopathology diagnosis |
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