Lioe T F, Elliott H, Allen D C, Spence R A
Department of Histo/Cytopathology, Belfast City Hospital.
Ulster Med J. 1997 May;66(1):24-7.
A total of 2431 fine needle aspirates of symptomatic breast lumps was performed on 2096 patients over the last three years at the weekly head, neck and breast clinic at the Belfast City Hospital Trust. Diagnostic accuracy was achieved within the recommended standards although the "insufficient" rate was high at 31.8%. False negative and positive rates were low and the positive predictive value for malignancy was 99%. Excision biopsy for benign breast disease had decreased by almost a third during this period. Fine needle aspiration cytology is a highly accurate and cost-effective technique for the investigation of symptomatic breast lumps and results in significant savings.
在过去三年里，贝尔法斯特市医院信托基金每周开设的头颈及乳腺诊所，对2096名患者的2431个有症状乳腺肿块进行了细针穿刺抽吸检查。尽管“标本不足”率高达31.8%，但诊断准确性仍达到了推荐标准。假阴性和假阳性率较低，恶性肿瘤的阳性预测值为99%。在此期间，因良性乳腺疾病进行的切除活检减少了近三分之一。细针穿刺抽吸细胞学检查是一种用于检查有症状乳腺肿块的高度准确且具有成本效益的技术，可大幅节省费用。
