不可触及的乳腺囊肿：放射学引导下穿刺获取的液体的细胞学检查的效用
Impalpable breast cysts: utility of cytologic examination of fluid obtained with radiologically guided aspiration.
作者信息
Smith D N, Kaelin C M, Korbin C D, Ko W, Meyer J E, Carter G R
机构信息
Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115, USA.
出版信息
Radiology. 1997 Jul;204(1):149-51. doi: 10.1148/radiology.204.1.9205237.
PURPOSE
To evaluate the utility of cytologic analysis of fluid obtained from impalpable breast cysts by means of radiologically guided aspiration.
MATERIALS AND METHODS
The authors retrospectively reviewed the reports of cytologic examinations of fluid obtained with sonographically or mammographically guided aspiration of 660 impalpable breast cysts in 583 women during 3 1/2 years.
RESULTS
No malignant cells (541 cysts) or insufficient cellular material (86 cysts) was seen with cytologic examination of 95% of the aspirates. Atypical cells were seen with cytologic examination of fluid from 33 (5%) lesions. None of these 33 lesions were found to represent malignancy at the time of surgical excision (n = 9) or during clinical follow-up (n = 24).
CONCLUSION
Routine cytologic examination is unnecessary if the fluid obtained with radiologically guided aspiration from impalpable breast cysts is not bloody.
目的
评估通过放射学引导穿刺获取的不可触及乳腺囊肿液的细胞学分析的效用。
材料与方法
作者回顾性分析了在3年半时间里对583名女性的660个不可触及乳腺囊肿进行超声或乳腺X线引导穿刺获取的液体的细胞学检查报告。
结果
95%的穿刺液细胞学检查未发现恶性细胞（541个囊肿）或细胞材料不足（86个囊肿）。33个（5%）病变的液体细胞学检查发现非典型细胞。在手术切除时（n = 9）或临床随访期间（n = 24），这33个病变均未发现为恶性。
结论
如果通过放射学引导穿刺从不可触及乳腺囊肿中获取的液体不是血性的，则无需进行常规细胞学检查。
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