针吸细胞学检查对乳腺癌术前诊断的价值与评价  

Value and evaluation of fine-needle aspiration cytology for preoperative diagnosis of breast cancer

作　　者：田新庆 王文珍 王小娜 

机构地区：[1]山西省临汾市肿瘤医院外科,041000

出　　处：《中国实用医刊》2012年第12期34-36,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨针吸细胞学检查对乳腺癌术前诊断的应用及操作技巧。方法对118例乳腺肿块患者采用提拉式穿刺检测器、7号针头与20m1注射器进行针吸细胞学检查。结果79例一次针吸找到癌细胞，15例二次针吸找到癌细胞，其中提拉式穿刺检测器二次穿刺仅2例，均无假阳性；对24例针吸阴性者行区段切除术，4例术后病理切片为恶性，其余为良性病变，准确率为96．61％，假阴性率为4．08％。结论针吸细胞学检查经济实用、安全、快捷、痛苦小、准确率高、重复性好、患者易接受，尤其提拉式穿刺检测器更具有优越性，对乳腺肿块的术前诊断和手术方式选择具有重要价值。Objective To investigate the use and manipulation technology of fine-needle aspira- tion cytology for diagnosis of breast cancer before operation. Methods One hundred and eighteen cases of breast masses were detected with fine-needle aspiration cytology by lift-draw puncture implements, nee- dle of number 7 and syringe of 20 millilitres. Results Tumor cells were found by one time fine-needle aspiration in 79 cases, by two times fine-needle aspiration in 15 cases. Only 2 cases were punctured twice by lift-draw puncture implements, no false positive cases were observed. Twenty-four cases with negative result of fine-needle aspiration were resected in bloks, and pathological slices were proved to be malignant in 4 cases,while the others were benign. The accuracy rate of diagnosis was 96. 61% ,the mis- diagnostic rate was 4.08%. Conclusions Fine-needle aspiration cytology is economical, practical, safe and quick, with less pain, high accuracy, good repetition and can be easily accepted by the patients. The lift-draw puncture implements is especially superior to other equipments, which plays an important role in preoperative diagnosis of breast mass and operative method chosen.

关 键 词：针吸 细胞学 乳腺癌 诊断 液基薄片 

分 类 号：R737.9[医药卫生—肿瘤]