Hermansen C, Skovgaard Poulsen H, Jensen J, Langfeldt B, Steenskov V, Frederiksen P, Jensen O M
Department of Surgery I, University Hospital, Aarhus Amtssygehus, Denmark.
Cancer. 1987 Oct 15;60(8):1866-71. doi: 10.1002/1097-0142(19871015)60:8<1866::aid-cncr2820600832>3.0.co;2-z.
A prospective study of 622 consecutively registered patients with 650 breast tumors was performed to appraise the reliability of combined physical examination, mammography, and fine-needle puncture (triple test) in the preoperative diagnosis of such tumors. All malignant as well as benign test results were confirmed by subsequent histologic examination. The diagnostic accuracy of the triple test at benign changes is comparable to that of histologic examination, but participation of experienced radiologists and cytologists as well as persons skilled in fine-needle puncture is required. Twenty-eight percent of the planned excisional biopsies were made superfluous by the fine-needle puncture, which immediately revealed the tumor as a cyst, abscess, or hematoma. For this reason, too, fine-needle puncture is recommended as a routine procedure.
对622例连续登记的患有650个乳腺肿瘤的患者进行了一项前瞻性研究，以评估体格检查、乳房X线摄影和细针穿刺（三联检查）相结合在这类肿瘤术前诊断中的可靠性。所有恶性和良性检查结果均通过后续组织学检查得以证实。三联检查对良性病变的诊断准确性与组织学检查相当，但需要有经验的放射科医生、细胞学家以及熟练掌握细针穿刺的人员参与。28%的计划切除活检因细针穿刺而不再必要，细针穿刺可立即将肿瘤诊断为囊肿、脓肿或血肿。正因如此，细针穿刺也被推荐作为常规检查方法。
