100例乳腺增生病活检结果的分析

Analysis of 100 Cases of Breast Hyperplasia Diagnosed by Biopsy

本文分析1984年lO月至1988年12月,100例乳腺增生病活检。病理结果根据WHO分类方法:29例腺病型;31例小叶与导管增生型;14例导管扩张型;15例囊肿型;6例乳腺纤维硬化型。本组100例中癌变5例,癌变率5％。从诊断乳腺增生病纠发现癌变最短者35个月,最长者60个月。导管_卜皮增生易发生癌变,本组5例癌变者均有明显导管上皮增生。用细针穿刺细胞学检查可以早期诊断癌变。

100 cases of biopsy specimens of breast hyperplasia between October, 1984 and December, 1986 were analysed. According to the WHO criteria, 29 cases were adenosis, 31 cases were lobular and duct hyperplasia, 14 cases were dilated ducts, 15 cases were cysts and 6 cases were sclerosins adenosis. In this series, 5 patients developed carcinoma (5％). The shortest interval between the original diagnosis of hyperplasia and the diagnosis of carcinoma was 35 months. Whereas the longest interval was 60 months. All the 5 patients with intraductal hyperplasia developed carcinoma. Fine needle aspiration for the biopsy is useful for the early diagnosis of the carcinomatous chauges.