Zajdela A, de Maublanc M A
Bull Cancer. 1979;66(2):107-12.
Between 1968 and 1975, the authors studied at the Institut Curie the value of fine needle aspiration cytology in the follow-up of breast cancers, which have been previously treated with definitive irradiation (182 cases) or lumpectomy and post-operative irradiation (20 cases). The cytologic results have been compared to the pathologic aspects of the surgical specimens. The cytologic procedure was made when the tumor decrease was incomplete or too slow, or when, after a free interval, was noted in the irradiated breast a tissue reaction clinically and radiologically indefinite. The post-therapeutic investigation interested 202 cases of breast carcinoma. Compared to the histologic result, the cytologic results proved to be: -- identical. . . . . . . in 170 cases (84%) -- false benign . . . . . in 4 cases (2%) -- false malignant . . . . in 4 cases (2%) -- insufficient cell material in 24 cases (12%) The high rate of correct cytologic diagnosis and the very low rate of wrong results prove the value and interest of the fine needle aspiration cytology for residual tumor masses or for recurrences in irradiated breast cancers.
1968年至1975年间，作者在居里研究所研究了细针穿刺细胞学检查在乳腺癌随访中的价值，这些乳腺癌患者先前已接受根治性放疗（182例）或肿块切除术及术后放疗（20例）。将细胞学检查结果与手术标本的病理情况进行了比较。当肿瘤缩小不完全或过慢，或者在经过一段无瘤间期后，发现受照射乳房出现临床和放射学表现不明确的组织反应时，进行细胞学检查。此次治疗后调查涉及202例乳腺癌患者。与组织学结果相比，细胞学结果显示：——相同……170例（84%）——假良性……4例（2%）——假恶性……4例（2%）——细胞材料不足……24例（12%）细胞学诊断的高正确率和极低的错误率证明了细针穿刺细胞学检查对于照射后乳腺癌残留肿块或复发灶的价值和意义。
