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细针穿刺活检诊断可触及乳腺肿块的准确性:一所大学附属医院社区医院的两年结果

Accuracy of fine-needle aspiration biopsy in diagnosis of palpable breast masses: two-year results of a university-affiliated community hospital.

作者信息

Benedetto J C, Allora V G, Wyatt L L

机构信息

Department of Surgery, Kennedy Memorial Hospitals-University Medical Center, University of Medicine and Dentistry of New Jersey, School of Osteopathic Medicine, Stratford.

出版信息

J Am Osteopath Assoc. 1993 May;93(5):585-8.

PMID:8314720
Abstract

Fifty-eight solid breast masses in 57 patients were subjected to fine-needle aspiration biopsy, and the results of cytologic analysis and histologic diagnosis were compared. The sensitivity was 79.2%, specificity, 85.3%, and accuracy, 82.8%. These results are within the range of those in the medical literature. Fine-needle aspiration biopsy is a useful adjunct in the management of palpable breast masses in the community hospital setting. Our data, however, do not support its use alone as a screening tool. Excisional biopsy or close clinical follow-up remains essential for evaluation and management of palpable breast masses.

摘要

对57例患者的58个乳腺实性肿块进行了细针穿刺活检,并比较了细胞学分析结果和组织学诊断结果。敏感性为79.2%,特异性为85.3%,准确性为82.8%。这些结果在医学文献报道的范围内。在社区医院环境中,细针穿刺活检是处理可触及乳腺肿块的一种有用辅助手段。然而,我们的数据不支持将其单独用作筛查工具。切除活检或密切的临床随访对于可触及乳腺肿块的评估和处理仍然至关重要。

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