摘要
分析１１４８例乳腺肿物细针吸取活检（ＦＮＡＢ）的细胞学诊断结果，与３４８例经手术获组织病理学诊断的结果比较，ＦＮＡＢ对恶性肿瘤诊断的敏感性为９７．２％，特异性为９６．８％。细胞学诊断为阳性者（Ⅳ，Ⅴ级）手术后证实全部为恶性。文中对细胞学诊断的标准、误导诊断的因素如不典型的细胞学改变、出现异型细胞的良性病变及易于漏诊的乳腺癌等进行了简要讨论。
A series of 1148 fine-needle aspiration biopsies(FNAB) of breast masses done at my department was analyzed. There were 348 cases which subsequently accepted operation and having histopathologic diagnoses. Cytologic diagnoses were classified into four diagnostic classes and six grades:positive(GradeⅣ,Grade Ⅴ) for malignant cells, negative for benign cells(Grade Ⅰ,GradeⅡ ),cytologically suspect(GradeⅢ)and unsatisfactory(Grade0,not enough epithelial cell for diagnosis).Sensitivity of FNAB for breast malignant tumor was 97.2%. Specificity was 96.8%. All positive cases in FNAB(Grade Ⅳ,Ⅴ)were proved as malignant tumor after operation. To recognize the cytologic diagnostic pitfalls is very important for a correct diagnosis. The common diagnostic pitfalls include atypical cytologic changes,atypical cells appearing in benign lesion and some easily neglected cases of breast carcinoma.
出处
《临床与实验病理学杂志》
CAS
CSCD
北大核心
1996年第2期138-141,共4页
Chinese Journal of Clinical and Experimental Pathology
关键词
乳腺肿瘤
活检
细针吸取
FNAB
breast mass
breast carcinoma
atypical cytologic features
