摘要
１２５６例乳腺良性病变中有１９例（１．４８％）细胞学误诊为可疑癌、高疑癌、甚至癌。１９例中有９例（４７．４％）纤维囊性乳腺病，３例（１５．８％）纤维腺瘤，２例（１０．５％）巨大纤维腺瘤，２例（１０．５％）导管内乳头状瘤，２例（１０．５％）慢性乳腺炎和１例（５．３％）男性乳腺发育。涂片中细胞量过多或过少，细胞退变，增生活跃的导管上皮细胞有轻度异型而双极裸核细胞或大汗腺化生细胞等辅助诊断成分不明确，以及增生活跃的组织细胞是误诊的主要原因。
A total of 2877 aspiration biopsies of breast were performed by fine needle aspiration.Among these there were 1256 benign lesions of which 1.48% (19/1256) were diagnosed suspiciously as malignant. Nine of the 19 (47.4%)were fibro cystic disease of breast, 3(15.8%) fibroadenomas, 2(10.5%) giant fibroadenomas, 2(10.5%) intraductal papillomas, 2 (10.5%)chronic inflammatory lesions and 1(5.3%)gynecomastia.A majority of the misdiagnosis were attributable to paucity of cells or poorly preserved cells. In addition, high cellularity, suspicious epithelial proliferation accompanied by naked bipolar nucleated cells,atypical apocrine metaplastic cells and presence of active histocytes.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1999年第1期55-57,共3页
Chinese Journal of Clinical Oncology
关键词
针吸细胞学
假阳性
细胞学诊断
乳腺疾病
Mammary gland Fine needle aspiration Cytology False positive
