乳腺小肿块超声引导下细针穿刺细胞学与粗针穿刺组织学诊断的对照分析  

Comparison of Core Needle Biopsy and Fine Needle Aspiration Cytology on Tiny Breast Lesions

作　　者：周俊宇[1] 沈理[1] 陆殿元[1] 赵丽英[1] 陈玉华[1] 张丽[1] 

机构地区：[1]上海交通大学医学院附属新华医院崇明分院,上海市202154

出　　处：《中国超声医学杂志》2014年第3期207-209,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨超声引导下乳腺小肿块细针穿刺细胞学和粗针穿刺组织学检查临床应用价值。方法对照分析本院93个长径≤10 mm乳腺小肿块实时超声引导下FNAC和CNB与术后病理结果。结果 93个乳腺小肿块FNAC诊断准确度94.6%,灵敏度63.6%;CNB诊断准确度96.8%,灵敏度81.8%,两种方法对乳腺癌的检出无统计学差异(P>0.05)。结论乳腺小肿物超声引导下细针抽吸细胞学检查是一种准确度较高的术前诊断方法,值得临床推广应用。Objective To discuss the clinical value of fine needle aspiration cytology（FNAC） and core needle bi opsy（CNB） of breast lesions visible on ultrasound. Methods Analysis of 93 breast lesions smaller than 10ram in FNAC and CNB on ultrasound. Results The accuracg of 93 breast lesions in FNAC is 94.6% and the sensibility is 63.6%. While the accuracg in CNB is 96.8% and the sensibility is 81.8%. There is no difference between two meth- ods. Conclusions The fine needle aspiration cytology of tiny breast lesions visible on ultrasound has a high accuracy in preoperative diagnosis and it has the value of clinical generalization and application.

关 键 词：超声引导下 细针穿刺细胞学 粗针穿刺组织学 乳腺小肿块 

分 类 号：R446.8[医药卫生—诊断学]