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乳腺肿块的细针穿刺活检(FNAB):术前与术后组织学诊断的比较研究

Fine needle aspiration biopsy (FNAB) of breast lumps: comparison study between pre- and post-operative histological diagnosis.

作者信息

Abu-Salem O T

机构信息

Jordan Board of General Surgery, Irbid.

出版信息

Arch Inst Pasteur Tunis. 2002;79(1-4):59-63.

PMID:15072246
Abstract

Fine-needle aspiration biopsy is recommended as first and most important step in the management of breast cancer. A retrospective study was realized on 420 patients that underwent fine-needle aspiration (FNAB) in comparison to 140 patients that underwent surgical management. The results of FNAB showed that 81% of the cases were benign with an accuracy of 93%, a specificity of 97% and a sensitivity of 92% compared to operative findings. The accuracy of FNAB depends on the expertise and experience of the cyto pathologist as well as the technical skills of the physician performing the biopsy. FNAB is showing to be a highly effective procedure which can obviate unnecessary surgery in breast suspected lumps, save time and money and patient anxiety. It is the effective method for distinguishing benign from malign breast lesions.

摘要

细针穿刺活检被推荐为乳腺癌管理的首要且最重要的步骤。对420例行细针穿刺(FNAB)的患者与140例行手术治疗的患者进行了一项回顾性研究。FNAB的结果显示,与手术结果相比,81%的病例为良性,准确率为93%,特异性为97%,敏感性为92%。FNAB的准确性取决于细胞病理学家的专业知识和经验以及进行活检的医生的技术技能。FNAB是一种高效的检查方法,可避免对疑似乳腺肿块进行不必要的手术,节省时间和金钱,减轻患者焦虑。它是区分乳腺良性和恶性病变的有效方法。

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