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乳腺病变处理中的针吸细胞学检查

Aspiration cytology in the management of breast lesions.

作者信息

Kwok D, Chan M, Gwi E, Law D

机构信息

Kwong Wah Hospital, Hong Kong.

出版信息

Aust N Z J Surg. 1988 Apr;58(4):295-9. doi: 10.1111/j.1445-2197.1988.tb01059.x.

DOI:10.1111/j.1445-2197.1988.tb01059.x
PMID:3254135
Abstract

In a group of patients with breast lumps, diagnosis made by pre-operative aspiration cytology was compared with that obtained by histological section of excised specimens. Results showed that aspiration cytology correctly diagnosed 89% of malignant lesions and 92.6% of benign lesions based upon histological diagnosis. Cytological diagnosis of benign disease had a false negative rate of 6% while cytological diagnosis of malignant disease had a 2.7% false positive rate. Only 3.5% of cytologies returned an inadequate diagnosis. This study shows that aspiration cytology should be useful in allowing a better psychological preparation of patients before surgery as well as better utilization of operation theatre facilities.

摘要

在一组患有乳腺肿块的患者中,将术前细针穿刺抽吸细胞学检查做出的诊断与切除标本的组织学切片诊断结果进行了比较。结果显示,基于组织学诊断,细针穿刺抽吸细胞学检查正确诊断出89%的恶性病变和92.6%的良性病变。良性疾病的细胞学诊断假阴性率为6%,而恶性疾病的细胞学诊断假阳性率为2.7%。只有3.5%的细胞学检查结果诊断不充分。这项研究表明,细针穿刺抽吸细胞学检查有助于患者在手术前做好更好的心理准备,同时也能更好地利用手术室设施。

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