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[乳腺活检的术中远程诊断]

[Intraoperative telediagnosis of breast biopsies].

作者信息

Gribunov Iu P, Khodasevich L S, Shestakova I N

出版信息

Arkh Patol. 2010 Jul-Aug;72(4):20-4.

PMID:21086632
Abstract

Intraoperative real-time telediagnosis from cryostat sections of the breast can increase the quality of postmortem diagnosis. Moreover, the average accuracy of histological diagnosis was as high as 93.5% or increased by 4.4% as compared with traditional microscopy. According to the nature of the pathological process, this increase reached 86.7% (by 5.4%) for nontumor pathology and 95.9 (by 5.1%) and 95.8% (by 1.9%) for benign and malignant neoplasms, respectively. Intraoperative telediagnosis was most effective in a rare breast pathology that presented difficulties in the use of traditional microscopy, by calling for discussion of the histological pattern and colleagues' consultative support.

摘要

术中对乳腺冰冻切片进行实时远程诊断可提高尸检诊断质量。此外,组织学诊断的平均准确率高达93.5%,与传统显微镜检查相比提高了4.4%。根据病理过程的性质,非肿瘤性病理的这一增幅达到86.7%(提高了5.4%),良性和恶性肿瘤分别为95.9%(提高了5.1%)和95.8%(提高了1.9%)。术中远程诊断在罕见的乳腺病理中最为有效,这种病理在使用传统显微镜检查时存在困难,需要对组织学模式进行讨论并获得同事的咨询支持。

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