针吸印片细胞学和冷冻切片检查在乳腺肿块联合诊断中的应用研究

THE APPLICAT ION OF FNAC PRINTING SLICES CYTOLOGY AND FROZEN SLIDES EXAMINATION IN THE DIAGNOSIS OF MAMMAR BUMPS

目的 探讨提高乳腺肿块诊断准确率及阳性率的方法。方法 对 12 0例乳腺肿块进行术前针吸细胞学检查、术中印片细胞学检查及冷冻切片检查 ,并与术后常规石蜡切片进行对照。结果 针吸细胞学诊断阳性率为 94 .3% ,印片细胞学诊断阳性率为 97.6 % ,冷冻切片诊断阳性率为98.9% ,针吸、印片细胞学与冷冻切片结合诊断阳性率为 10 0 %。结论 针吸细胞学检查是乳腺肿块术前初步诊断的重要方法 ,术中冷冻切片结合印片细胞学检查可提高乳腺肿块诊断准确率及阳性率。

Objective To explore the method on diagnosis o f mammary bump.Methods 120 patients with mammary bump diagnosed b y preoperative fine needle asporation cytology(FNAC),intraoperative with printin g slice cytology and frozen slide,and compared with roatine pathological examina tion postoperatively.Results The positive rates of FNAC,printing slice cytology and frozen slide examination were 94.3%,97.6%,98.9% respectively, while the positive rate of FNAC,printing slice cytology and frozen slide examin ation was 100%.Conclusion The method of printing slice cytology c ombined with frozen pathological examination may help improve the correct diagno sis and positive result in patients with mammary bump.