Brown L A, Coghill S B, Powis S A
Department of Histopathology, General Hospital, Northampton.
Cytopathology. 1991;2(1):1-6. doi: 10.1111/j.1365-2303.1991.tb00377.x.
One thousand and two patients with palpable breast lumps have had fine needle aspiration at a surgical symptomatic breast clinic where the pathologist takes, stains and immediately reports the aspiration cytology smears. High levels of complete sensitivity (95.7%) and specificity (100%) have been maintained with a combined complete sensitivity for aspiration cytodiagnosis, mammography and clinical assessment of 99.7%. Significant reductions of unnecessary biopsies and out-patient revisits have allowed major resource savings to be made. In view of the high degree of accuracy obtained by this approach to the investigation of palpable breast lesions, combined clinics with their benefits for the patient, both physical and psychological, should be encouraged.
1002例可触及乳腺肿块患者在一家有症状的乳腺外科诊所接受了细针穿刺，病理学家对穿刺所得的细胞涂片进行染色并立即报告结果。细针穿刺细胞学检查的敏感度（95.7%）和特异度（100%）均保持在较高水平，细针穿刺细胞诊断、乳腺钼靶摄影和临床评估的综合敏感度为99.7%。不必要活检和门诊复诊次数的显著减少实现了大量资源节约。鉴于这种对可触及乳腺病变的检查方法具有高度准确性，应鼓励设立联合诊所，这对患者在生理和心理方面都有益处。
