Boquoi E, Kreuzer G
Arch Geschwulstforsch. 1977;47(7):616-23.
860 mammary tumours were clinically, mammographically and cytologically examined. Only thereafter, the histological diagnosis was established following surgical biopsy. There were found 356 malignant and 504 benign processes. The limited reliability of the individual methods is pointed to. As is proved, the diagnostics can be improved by combining the application of all three methods. On the one hand, a larger number of malignoma or malignoma-suspect processes are discovered, on the other hand, the preoperative diagnostics becomes more reliable. If the 3 methods yield similar findings, the diagnostic probability of error is below 1 per cent. Before, the range of indication was clearly outlined, the technique of punction, obtaining and processing of material was discussed, and the complications and limits of the methods were pointed to.
对860例乳腺肿瘤进行了临床、乳腺X线摄影及细胞学检查。之后,仅在手术活检后才确立组织学诊断。发现356例为恶性病变,504例为良性病变。指出了各方法的可靠性有限。事实证明,通过联合应用这三种方法可提高诊断水平。一方面,可发现更多的恶性肿瘤或疑似恶性肿瘤的病变,另一方面,术前诊断变得更可靠。如果这三种方法得出相似的结果,诊断错误的概率低于1%。此前,明确界定了适应证范围,讨论了穿刺、取材及处理材料的技术,并指出了这些方法的并发症及局限性。