Vielh P, Klijanienko J
Institut Curie, Paris.
Arch Anat Cytol Pathol. 1998;46(4):237-40.
Histologic findings from two consecutive series of fine-needle biopsies of nonpalpable breast lesions were compared. The first series included 243 tumors sampled stereotactically, and the second 198 tumors sampled under ultrasound guidance. The results, together with data from the literature, demonstrated that: 1) the diagnostic efficacy of stereotactic fine-needle cytology of lesions seen on mammograms only as microcalcifications is inadequate; 2) ultrasound-guided fine-needle cytology is an extremely reliable diagnostic tool for lesions that are not seen only as microcalcifications.
对两组连续的不可触及乳腺病变细针穿刺活检的组织学结果进行了比较。第一组包括243个通过立体定位取样的肿瘤,第二组包括198个在超声引导下取样的肿瘤。结果与文献数据一起表明:1)仅在乳腺X线摄影上表现为微钙化的病变,立体定位细针细胞学检查的诊断效能不足;2)超声引导下细针细胞学检查对于不仅仅表现为微钙化的病变是一种极其可靠的诊断工具。