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犬乳腺肿瘤细针穿刺活检:细胞学与组织病理学的比较

Fine-needle aspiration biopsy of canine mammary gland tumours: a comparison between cytology and histopathology.

作者信息

Sontas B H, Yüzbaşıoğlu Öztürk G, Toydemir T F S, Arun S S, Ekici H

机构信息

Department of Obstetrics and Gynaecology, Istanbul University, Avcilar, Istanbul, Turkey.

出版信息

Reprod Domest Anim. 2012 Feb;47(1):125-30. doi: 10.1111/j.1439-0531.2011.01810.x. Epub 2011 May 26.

Abstract

In the current study, a total of 90 mammary neoplasms obtained from 55 female dogs were used to determine the accuracy of fine-needle aspiration cytology in the diagnosis of canine mammary tumours and to investigate the feasibility of this technique for the differentiation of simple tumours from complex or mixed tumours. Three aspirations were performed on each mammary gland mass using a 22-gauge needle attached to a 5-ml syringe before the mammary glands were surgically excised and submitted for histopathological examination. Twenty-five (27.7%) of 90 samples were classified as insufficient/inadequate for diagnosis. Of the remaining 65 samples, six (9.2%) were benign, 51 (78.5%) were malignant tumours and 8 (12.3%) were suspicious. Histopathological examination of the 90 specimens revealed five (5.6%) benign, 84 (93.3%) malignant and one (1.1%) non-neoplastic lesion. The diagnostic accuracy, sensitivity and specificity of cytologic examination for diagnosing malignancy were 96.5%, 96.2% and 100%, respectively. However, when inadequate (n = 25) and suspicious (n = 8) samples were included, the diagnostic accuracy and sensitivity decreased to 63.3% and 60.7%, respectively, but no change was observed in the specificity. Furthermore, it was not possible to differentiate simple tumours from complex and mixed tumours because spindle cells were seen in both 28% of the simple tumours and 39.3% of the complex or mix tumours. In conclusion, we believe that fine-needle aspiration cytology of canine mammary tumours is a valuable diagnostic tool, although our results indicated lower accuracy when inadequate samples were taken into consideration.

摘要

在本研究中,共使用了从55只雌性犬获取的90个乳腺肿瘤,以确定细针穿刺细胞学在犬乳腺肿瘤诊断中的准确性,并研究该技术区分单纯性肿瘤与复杂性或混合性肿瘤的可行性。在乳腺进行手术切除并提交进行组织病理学检查之前,使用连接到5毫升注射器的22号针头对每个乳腺肿块进行三次穿刺。90个样本中有25个(27.7%)被分类为诊断不足/不充分。在其余65个样本中,6个(9.2%)为良性,51个(78.5%)为恶性肿瘤,8个(12.3%)为可疑。对90个标本的组织病理学检查显示,有5个(5.6%)良性病变、84个(93.3%)恶性病变和1个(1.1%)非肿瘤性病变。细胞学检查诊断恶性肿瘤的诊断准确性、敏感性和特异性分别为96.5%、96.2%和100%。然而,当纳入不足(n = 25)和可疑(n = 8)样本时,诊断准确性和敏感性分别降至63.3%和60.7%,但特异性未观察到变化。此外,无法区分单纯性肿瘤与复杂性和混合性肿瘤,因为在28%的单纯性肿瘤和39.3%的复杂性或混合性肿瘤中均可见梭形细胞。总之,我们认为犬乳腺肿瘤的细针穿刺细胞学是一种有价值的诊断工具,尽管我们的结果表明,考虑到不足样本时准确性较低。

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