乳腺肿块针吸细胞学可疑癌的诊断体会

A Clinicopathological Study of 63 Doubtful Breast with Fine-needle Aspiration Cytology

目的探讨乳腺肿块针吸细胞学(FNAC)可疑癌的临床特点与细胞病理学的关系。方法回顾总结1115例乳腺肿块FNAC中63例可疑癌的细胞学特点和诊断标准。结果1115例乳腺肿块FNAC中,63例可疑癌获病理组织学对照,占乳腺肿瘤的5.65%(63/1115),正确率96.8%(61/63),误诊率3.2%(2/63)。结论FNAC对乳腺可疑恶性病变的早期发现、诊断和手术方式的选择具有独特价值。

Objective To explore the value of fine needle aspiration cytology(FNAC) in the detection and diagnosis of breast masses. Methods 1 115 cases of breast masses that were sampled by FNAC were retrieved from the records of the cytopathology laboratory. Results Comparison with histology was possible in 328 cases. The diagnoses obtained by FNAC showed that the overall diagnostic accuracy was ~96.8% and the misdiagnositic rate was ~3.2% . Meanwhile,doubtful cancer(in 63) was ~5.65% of total breast masses. Conclusion Ensuring optimal patient management,FNAC of breast masses is reliable for diagnosis. We advocate keeping FNAC as a first-line diagnostic procedure , in order to maximize the availability of health care to women with breast mass.