粗针穿刺活检在乳腺肿块诊断中的应用

Application of core needle biopsy in the diagnosis of breast mass

目的:探讨粗针穿刺活检(CNB)在乳腺肿块诊断中的应用价值。方法:对触诊为乳腺肿块的患者行粗针穿刺活检和开放活检,对病理结果比较分析。结果:送检85例穿刺标本病理结果分别为:乳腺增生症53例,乳腺癌26例,慢性炎症3例,乳腺纤维腺瘤3例。穿刺与切除术后病理符合率98.1%,漏诊1例占1.9%。结论:CNB是一种操作简单、损伤小、准确可靠的诊断方法,在乳腺肿块的确诊中有很大应用价值。

Objective：To study the value of core needle biopsy in diagnosis of breast mass. Methods： Eighty five cases of clinical palpable breast masses were detected with core needle biopsy （ CNB ） and open biopsy （ OB ） , the pathologic findings of CNB and OB were analyzed. Results： In the 85 cases, CNB identified that 53 were cyclomastopathy, 26 were breast cancer, 3 were chronic inflammation, 3 were fibroadenoma. The histology identified at CNB was confirmed at OB for 98.1% of the cases, false negative rate was 1.9%. Conclusion： Core needle biopsy is a simple, less invasive and accurate localization procedure. It is very valuable in the diagnosis of breast masses.