穿刺细胞学与钼靶X线相结合在诊断乳腺导管上皮内病变中的意义  

Value of fine needle aspiration cytology combined with mammography to the diagnosis of the breast ductal intraepithelial neoplasm

作　　者：解建军[1] 任玉波[2] 梁凤泉[1] 马广贞[1] 陈冰[1] 马青松[1] 周莉[1] 

机构地区：[1]泰山医学院附属聊城市第二医院病理科,山东省252601 [2]聊城市人民医院病理科

出　　处：《中华实用诊断与治疗杂志》2008年第9期657-659,共3页Journal of Chinese Practical Diagnosis and Therapy

摘　　要：目的:探讨细针穿刺细胞学与钼靶X线相结合对乳腺导管内增生性病变的诊断价值及针吸细胞学特点。方法:采用钼靶X线下定位穿刺吸取细胞学及单纯应用针吸细胞学2种方法,并将两者对照分析。结果:细针穿刺细胞学诊断乳腺导管内增生性病变69例,经术后病理证实58例,误诊11例;其中23例应用钼靶X线定位穿刺,46例未行钼靶X线检查,细胞学诊断准确率分别为73.33%、52.18%,差异有统计学意义(P<0.05)。结论:(1)细针穿刺细胞学中普通型导管增生及不典型性导管增生均显示了不同的细胞学特点;(2)钼靶X线下的定位穿刺可获取足量的细胞成分,细胞学诊断正确率较高;若结合钼靶X线进行综合分析,可提高对此类乳腺病变的诊断正确率。Objective To study the value of fine needle aspiration cytology combined with mammography to the diagnosis of the breast ductal intraepithelial neoplasm. Methods A total of 69 cases received fine needle aspiration cytology or hyperplastic breast ductal under mammography and compared. Results In these 69 cases, 58 cases were proved by postoperative patholgy, and 11 cases were misdiagnozed. The diagnostic accuracy of fine needle aspiration cytology under X-ray surveillance was 73.73% and that of fine needle aspiration cytology was 52.18%（P〈0.05） . Conclusion （1） The different cell characteristics are shown in the intraductal proliferative lesions. （2） The diagnostic accuracy of fine needle aspiration cytology under X-ray surveillance is high in the fine needle aspiration cytology under X-ray surveillance. A combined use of X-ray and fine needle aspiration cytology is recommended, which may increase the diagnostic accuracy of the intraductal proliferative lesions.

关 键 词：乳腺病 导管内增生 穿刺细胞学 钼靶X线 

分 类 号：R737.9[医药卫生—肿瘤]