细针吸取组织学检查结合钼靶摄片在女性T1期乳腺癌诊断中的应用

为了探讨细针吸取组织学检查结合钼靶摄片在乳腺癌诊断中的应用,对术后病理诊断乳腺癌、术前行钼靶摄片和(或)细针吸取组织学检查共285例患者的临床资料进行回顾性分析.结果213例患者中术前行细针穿刺,阳性率78.4%,假阴性率21.6%.165例钼靶摄片患者中,阳性率为70.9%,假阴性率29.1%.联合检查93例,阳性率93.5%,假阴性率6.5%.钼靶摄片和细针吸取组织学检查进行比较,差异无统计学意义,P＞0.05;钼靶摄片与联合检查结果比较,差异有统计学意义,P=0.0000.细针吸取组织学检查与联合检查结果比较,差异有统计学意义,P=0.0000.初步研究结果提示,细针吸取组织学检查结合钼靶摄片是术前诊断乳腺癌简便而有效的方法,对手术和其他治疗方法有重要的指导意义.

Role of fine needle aspiration cytology combined with mammography in diagnosis of T1 primary breast cancer

The objective of this study was to evaluate the role of fine needle aspiration cytology combined with mammography in the diagnosis of T_1 primary breast cancer.A total of 385 cases undertaking fine needle aspiration cytology combined with mammography in diagnosis who were identified to be T_1 primary breast cancer after operation were analysed retrospectively.Seventy-one point six percent of 213 cases undertaking fine needle aspiration cytology were identified to be breast cancer,while 21.6 percent of 213 cases were false negative;70.9 percent of 165 cases undertaking mammography were identified to be breast cancer,while 29.1 percent of 165 cases were false negative;93.5 percent of 93 cases undertaking fine needle aspiration cytology combined with mammography were identified to be breast cancer,while 6.5 percent of 93 cases were false negative.There were no statistically significant differences between fine needle aspiration cytology group and mammography group,P>0.05,but fine needle aspiration cytology group and fine needle aspiration cytology combined with mammography group,P=0.000 0;mammography group and fine needle aspiration cytology combined with mammography group,P=0.000 0. In conclusion,Fine needle aspiration cytology combined with mammography is a useful,safe and convenient diagnosis method for breast cancer,which also can supply reliable foudation for operation and other treaments.