Vlaisavljević V, Paja-Perusić D, Gorisek B, Rauter Z
Jugosl Ginekol Perinatol. 1985 Sep-Dec;25(5-6):125-8.
The authors present the results of the diagnosis of 1405 cases of macroscopically evident breast cysts. Only 15% patients were younger than 40 and only 6% older than 55 years. All lesions were cytologically analysed. The results were classified as negative in 1120 (79.9%), suspect in 27 (1.9%) and positive in 6 (0.4%) of cases. In 18% (n = 252) of cases aspirates were not adequate for cytologic evaluation. During a five-year follow-up period no new cyst was confirmed in 69.2% of cases, while in 30.8% of cases new cysts were diagnosed in yearly examinations during the observed period. Five (2.6%) intracystic proliferations were selected from the 190 cysts studied by means of pneumocystography. In the group presented three intracystic cancers were diagnosed by the combination of different diagnostic methods. The authors conclude that the introduction of ultrasound in breast cyst diagnostic work has reduced indications for pneumocystography and the cytologic evaluation of aspirates.
作者介绍了1405例肉眼可见的乳腺囊肿的诊断结果。仅15%的患者年龄小于40岁，仅6%的患者年龄大于55岁。所有病变均进行了细胞学分析。结果显示，1120例（79.9%）病例分类为阴性，27例（1.9%）为可疑，6例（0.4%）为阳性。18%（n = 252）的病例穿刺液不足以进行细胞学评估。在五年的随访期内，69.2%的病例未发现新囊肿，而在观察期内的年度检查中，30.8%的病例诊断出了新囊肿。在通过气囊造影术研究的190个囊肿中，挑选出5个（2.6%）囊内增殖病变。在该组中，通过不同诊断方法的联合诊断出了3例囊内癌。作者得出结论，超声在乳腺囊肿诊断工作中的应用减少了气囊造影术和穿刺液细胞学评估的指征。
