摘要
目的研究粗针穿刺活检(CNB)诊断乳腺肿块性质的临床应用价值,分析乳腺肿块患者的肿块性质。方法将该院自2017年1月—2019年1月乳腺科门诊与住院治疗的196例乳腺肿块患者作为观察对象,应用粗针穿刺活检和肿块标本切除的常规病理检查,对两种检验结果进行对比分析。结果196例乳腺肿块患者中,切除肿块常规病理检查结果:乳腺炎性改变患者10例,占比5.1%,良性肿瘤/病变患者95例,占比48.5%,恶性肿瘤/病变患者91例,占比46.4%。肿块粗针穿刺活检病理检查结果:乳腺炎性改变患者12例,良性肿瘤患者102例,恶性肿瘤82例,与肿块切除常规病理检查结果相比,乳腺炎性符合率为83.3%(10/12),良性肿瘤符合率93.1%(95/102),恶性肿瘤符合率为90.1%(82/91),总符合率95.4%(187/196)。结论作为乳腺疾病最常用的检查方法,肿块粗针穿刺活检(CNB)病理检查可正确识别90%以上的良恶性乳腺肿瘤,但由于某些病变受疾病类型、病变范围及取样误差限制,存在诊断难度与误差情况,因此,在临床诊断中,为确保疾病诊断准确率,需结合常规肿块切除病理检查。
Objective To study the clinical value of crude needle biopsy(CNB)in the diagnosis of breast mass and to analyze the mass of breast mass in patients with breast mass.Methods From January 2017 to January 2019,196 cases of breast masses from the breast clinic and hospitalization were used as observation objects.The routine pathological examination of the needle aspiration biopsy and mass specimen resection was performed.Conduct a comparative analysis.Results Of the 196 patients with breast masses,the results of routine pathological examination of the removed masses included 10 cases of mastitis-induced changes,accounting for 5.1%,95 cases of benign tumors/lesions,accounting for 48.5%,and 91 cases of malignant tumors/lesions,accounting for 46.4%.Pathological examination results of mass aspiration biopsy of the masses:12 cases of mastitis change,102 cases of benign tumors,and 82 cases of malignant tumors.Compared with routine pathological examination of masses,the rate of mastitis compliance was 83.3%(10/12).The compliance rate of benign tumors was 93.1%(95/102),the coincidence rate of malignant tumors was 90.1%(82/91),and the total coincidence rate was 95.4%(187/196).Conclusion As the most commonly used examination method for breast diseases,the pathological examination of massive needle aspiration biopsy(CNB)can correctly identify more than 90% of benign and malignant breast tumors,but some lesions are limited by disease type,lesion range and sampling error diagnostic difficulty and error situation,therefore,in the clinical diagnosis,in order to ensure the accuracy of disease diagnosis,it is necessary to combine the routine mass removal pathological examination.
作者
刘冬琴
LIU Dong-qin(Department of Pathology,Yancheng Maternal and Child Health Hospital,Yancheng,Jiangsu Province,224000 China)
出处
《系统医学》
2019年第23期23-25,共3页
Systems Medicine
关键词
乳腺肿块
粗针穿刺活检
肿瘤
病理检验
Breast mass
Rough needle biopsy
Tumor
Pathological examination
