Sumboonnanonda K, Chiemchanya S
Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1998 Apr;81(4):292-6.
Using the combination of clinical diagnosis, mammography and fine-needle aspiration cytology (FNA) as a "triple diagnosis" to guide management of carcinoma of the breast, we retrospectively reviewed 46 patients with FNA diagnosis of carcinoma of the breast in Ramathibodi Hospital from 1993 to 1995. Pathological diagnosis was available in 36 cases and used as a gold standard. Clinical diagnosis alone was accurate in 28 of 36 cases. Mammography was available in 24 cases of which the diagnosis was accurate in 22 cases. Triple diagnosis was available in 19 cases and all were accurate. Using this approach and review of the literature, we suggest that triple diagnosis could replace an open biopsy in diagnosis of carcinoma of the breast.
我们采用临床诊断、乳房X线摄影及细针穿刺细胞学检查（FNA）相结合的“三联诊断”方法来指导乳腺癌的治疗，回顾性分析了1993年至1995年期间在拉玛提波迪医院经FNA诊断为乳腺癌的46例患者。36例有病理诊断结果，并将其作为金标准。单纯临床诊断在36例中有28例准确。24例进行了乳房X线摄影，其中22例诊断准确。19例采用了三联诊断，全部准确。通过这种方法并结合文献复习，我们建议三联诊断可替代乳腺癌诊断中的开放性活检。
