细针吸取细胞学检查117例乳腺癌结果分析

Breast fine needle aspiration:an analysis of 117 cases

目的评价细针吸取细胞学对乳腺癌的病理诊断价值,分析漏诊误诊原因。方法选择2009年6月—2011年6月在该院门诊和住院行乳腺肿块细针穿刺细胞学并有术后病理对照病例185例,其中术后病理对照结果为乳腺癌的患者117例,将其术前细针吸取细胞学诊断结果与其术后病理组织学结果进行对照分析。结果 117例乳腺癌术前的细针吸取细胞学诊断符合率为91.5%,假阴性率为8.5%。结论细针吸取细胞学检查可以作为乳腺癌的一项重要检查手段,它具有较高的诊断准确性,但也存在一定局限性,对一些疑难病例有一定的漏诊误诊率。

Objective To evaluate pathological diagnosis value by the needle drain cytology in breast cancer, and to analyzed the reasons for misdiagnosis. Methods Totally 185 patients were selected, who were treated from June 2009 to June 2011 in our hospital outpatient service and in hospital underwent fine needle cytologic examination and had postoperative pathology results ,among whom there were 117 cases of breast cancer. A comparison analysis was made between the preoperative needle drain cytology diagnosis and the pathological diag- nosis. Results True diagnosis rate of 117 cases of breast cancer preoperative needle drain cytology was 91.5% , false negative diagnosis rate being 8.5%. Conclusion The fine needle drain cytology can be used as one of the most important breast cancer inspection method, which has higher diagnosis accuracy, yet it also has certain limitation,which has certain misdiagnosis rate in some difficult case.