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可触及乳腺病变管理中细针穿刺细胞学的诊断评估

Diagnostic evaluation of fine needle aspiration cytology in the management of palpable breast lesions.

作者信息

Shah S H, Kayani N, Hasan S H, Soomro I N, Pervez S, Hussainy A S

机构信息

Department of Pathology, Aga Khan University Hospital, Karachi.

出版信息

J Pak Med Assoc. 1998 Jan;48(1):7-8.

PMID:9610078
Abstract

A total of 113 fine needle aspirates of the breast masses were evaluated in which the subsequent biopsy or mastectomy specimen were also available for histological examination. The age ranged from 16 to 80 years with a mean of 42 years. In benign conditions the mean age was 34.7 years while in malignant cases it was 48 years. The cytological diagnoses were compared with the histological results which revealed that the specificity and sensitivity of fine needle aspiration cytology in the palpable breast lesions was 86.1% and 89.2% respectively with a positive predictive value of 93% and efficiency of 88.2%. Similar statistics from other series in which the cytological results of breast lesions were compared with histological results, revealed almost same results which suggest that fine needle aspiration cytology is an effective and accurate technique for the diagnosis and management of palpable breast lumps.

摘要

对总共113例乳腺肿块的细针穿刺抽吸样本进行了评估,这些样本随后的活检或乳房切除术标本也可用于组织学检查。年龄范围为16至80岁,平均年龄为42岁。良性病变的平均年龄为34.7岁,而恶性病例的平均年龄为48岁。将细胞学诊断结果与组织学结果进行比较,结果显示,可触及乳腺病变的细针穿刺细胞学检查的特异性和敏感性分别为86.1%和89.2%,阳性预测值为93%,效率为88.2%。其他系列中将乳腺病变的细胞学结果与组织学结果进行比较的类似统计数据显示了几乎相同的结果,这表明细针穿刺细胞学检查是诊断和处理可触及乳腺肿块的一种有效且准确的技术。

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