隆胸术后并发症的针吸细胞学诊断

Fine needle aspiration cytology in the diagnosis of complications after breast implant surgery

目的探讨隆胸术后并发症的针吸细胞学特点、鉴别诊断及其在临床诊断中的意义。方法收集我院经针吸细胞学检查诊断10例病例,对其临床表现及针吸细胞学特点进行分析、总结。结果凝胶聚丙烯酰胺水凝胶假体植入者7例,其中有1例于凝胶假体植入术后一年针吸为乳腺癌;3例为自体脂肪注入,均有较特异的形态学特点。结论针吸细胞学诊断隆胸术后并发症快速、损伤小、操作简便并且准确率高,可以为临床医生选择合理治疗方案提供重要依据。

Objective To explore the traits of fine needle aspiration cytology （FNAC）, differential diagnosis for complications after breast implant surgery and its significance for clinical diagnosis. Methods The clinical data of 10 patients undergoing breast implant diagnosed by FNAC were analyzed and summarized, in terms of clinical man- ifestation and FNAC trait. Results Of the ten patients, seven received polyacrylamide （PAM） as breast implants, in which one was diagnosed as breast cancer one year after surgery. Three patients had autologous fat as breast implants, and revealed differential morphological traits. Conclusion FNAC is not only efficient and scar-slight in the diagno- sis of complications of breast implants, but also simple and accurate. It can be important basis for clinicians to choose the reasonable treatment solution.