分析细针穿刺细胞学在乳腺肿物诊断中的应用

Analysis of Fine Needle Aspiration Cytology in the Diagnosis of Breast Tumor

目的分析研讨细针穿刺细胞学(FNAC)在乳腺肿物诊断中的应用。方法将我院2016年3月至2017年12月收治的乳腺肿块接受FNAC涂片检查,观察细胞状况,并评估肿块,共235例得到术后病理检查,对比分析。结果 235例患者经FNAC诊断后和术后病理检查对比后发现,诊断符合率为97.02%(228/235),诊断恶性肿瘤的敏感度为85.11%(40/47),诊断良性病变的特异性为99.47%(187/188),漏诊率为14.89%(7/47),误诊率为0。结论乳腺肿物接受FNAC检查,可将乳腺病变状况准确反映出来,但也存在局限性,建议联合病理学检查,提升疾病诊断率。

Objective To study the application of fine needle aspiration cytology（FNAC） in the diagnosis of breast tumor. Methods The breast masses from March 2016 to December 2017 in our hospital were examined by FNAC, the cell status was observed and the masses were evaluated. A total of 235 cases were obtained postoperative pathological examination and comparative analysis. Results Compared with postoperative pathological examination, 235 patients were found to have a diagnostic coincidence rate of 97.02%（228/235） and a sensitivity of 85.11%（40/47） for the diagnosis of malignant tumors. The diagnosis of benign lesions The rate of misdiagnosis was 99.47%（187/188）, the rate of misdiagnosis was 14.89%（7/47）. Conclusion FNAC examination of breast masses can accurately reflect the status of breast lesions, but there are also limitations, it is recommended joint pathological examination to improve the diagnostic rate of the disease.