超声及其引导下细针穿刺细胞学检查对乳腺筛查中触诊阴性结节的诊断价值

CLINICAL VALUE ON ULTRASOUND-GUIDED FINE NEEDLE ASPIRATION CYTOLOGY IN NON-PALPABLE BREAST MINIMAL LESIONS

目的探讨超声引导下细针穿刺细胞学检查对乳腺筛查中临床触诊阴性结节的诊断价值。方法回顾性分析241例超声引导下细针穿刺细胞学检查病例,均为临床触诊阴性而超声显示微小病变。结果超声对微小病变定性的符合率79.3%;超声引导下细针穿刺细胞学检查诊断微小结节的准确性为98.6%。结论乳腺微小结节超声引导下细针穿刺细胞学检查具有定性准确、操作简单、快速、价格低廉,适于在基层医院及乳腺癌筛查中大力推广。

Objective To explore the clinical value of screening of breast non- palpable minimal lesions with ultrasound- guided fine needle aspiration cytology （UG- FNAC）. Methods We retrospectively stud- ied 241 cases with UG- FNAC, all of them were non - palpable breast lesions in linical but showed mini- mal lesions with Ultrasonography. Results The diagnosis coincidence rate was 79.3 % for total 241 cases of breast non- palpable minimal lesions with ultrasound~ UG- FNAC was useful for diagnoing non- pal- pable breast nodules with diagnostic accuracy 98.6%. Conclusion UG- FNAC is a usefull technology for diagnosing non- palpable breast nodules with accuracy, simple, fast and reliable, which could be largely promoted in the primary hospital to screening breast cancer.