乳腺肿物针吸细胞学与组织学对照分析

Comparative Analysis of Cases of Breast tumor Fine-needle Aspiration Cytology and Histology

目的针吸细胞学作为临床检测乳腺肿块定性的诊断方法 ,具有临床诊断实用价值,但存在假阴性病例,对其乳腺肿物针吸细胞学与组织学的对照分析。方法对850例乳腺肿物患者分别行FNAC检查,对其部分病例进行病理组织学对比。结果 850例乳腺肿块FNAC诊断病理分类:乳腺良性病变476例占56%,浸润性乳腺癌291例占34.2%,原位癌/非典型性增生83例占9.8%。误诊为21例,误诊率为2.5%。结论乳腺肿物FNAC掌握诊断标准,避免单纯依照上皮细胞分化进行诊断分级的片面性,综合分析涂片中的形态学所见,避免误诊及减少在诊断中的误诊率。

Objective To fine - needle aspiration cytology as a clinical detection of breast lumps qualitative diagnostic methods, with the clinical diagnosis of practical value, but there are false -negative cases, their breast tumor fine -needle aspiration cytology and histology were analyzed. Methods Totally 850 cases of breast tumor patients were treated by FNAC checks and carried out on some cases of histopathological comparison. Results FNAC diagnosis of 850 cases of pathological classification of breast masses ：476 cases of benign breast lesions accounted for 56% , 291 cases of invasive breast cancer accounted for 34. 2%, carcinoma in situ / atypical hyperplasia in 83 cases accounted for 9.8%. Misdiagnosis of 21 cases,misdiagnosis rate was 2.5%. Conclusion FNAC master the diagnostic criteria of breast tumor to avoid the pure epithelial cell differentiation according to diagnostic classi- fication of the one - sidedness, a comprehensive analysis of the morphology seen in smears to avoid misdiagnosis and reduce the misdiagnosis rate in the diagnosis.