细针穿刺对男性乳腺癌的诊断价值及临床分析  

The diagnosis and clinical analysis of male breast cancer with fine needle aspiration

作　　者：黄丛改[1] 李孟泽[2] 汪少华[1] 万宇[1] 王洁琼[1] 汪澍[1] 韦思平 

机构地区：[1]泸州医学院附属医院临床细胞学室,四川省泸州646000 [2]泸州市中医医院骨一科 [3]泸州医学院药学院

出　　处：《中国基层医药》2015年第14期2115-2117,共3页Chinese Journal of Primary Medicine and Pharmacy

基　　金：四川省科技计划项目（2014JQ0052）

摘　　要：目的：分析细针穿刺细胞学检查对男性乳腺癌的诊断价值，探讨男性乳腺癌的临床特点。方法回顾性分析泸州医学院附属医院2000年1月至2014年12月男性乳腺癌患者共35例的细针穿刺细胞形态学特点及临床资料。结果细针穿刺男性乳腺癌35例患者，年龄35～82岁，中位年龄64岁，平均61.6岁。60～82岁23例，提示男性乳腺癌发病年龄较晚，60岁以后相对高发；肿瘤直径为0．8～8 cm，平均3．5 cm；临床TNM分期中，Ⅰ期14例，Ⅱ期13例，Ⅲ期7例，Ⅳ期1例，男性乳腺癌中晚期病例相对多见；病理类型为浸润性导管癌16例（45．7％）；术前细针穿刺细胞学检查敏感性为94．3％。结论细针穿刺细胞学检查具有较高的准确率，对男性乳腺癌的诊断具有重要意义，可以作为男性乳腺肿块良恶性筛查的一种检测手段。Objective To analyze the value of fine needle aspiration for male breast cancer and to investigate the clinical characteristics of male breast cancer.Methods The cell morphological characteristics of fine needle aspi-ration and clinical data were analyzed retrospectively within a total of 35 cases with male breast cancer of Affiliated Hospital of Luzhou Medical College,from 2000 January to 2014 December.Results During the 35 patients of male breast cancer with fine needle aspiration,from 35 to 82 years old,the median age was 64 years old and mean age was 61.6 years old.There were 23 cases of male breast cancer from 60～82 years old,suggesting that the relatively high incidence was after the age of 60 years.The diameter of male breast tumor was 0.8～8cm,while the average diameter was 3.5cm.In the clinical stage of TNM,14 cases were with stageⅠ,13 cases were with stageⅡ,7 cases were with stage Ⅲand 1 case wasⅣstage;that was to say,the cases of male breast cancer in the late was relatively more.The invasive ductal cancers were 16 cases （45.7%） of male breast cancer.The sensitivity was 94.3% of fine needle aspiration cytology before the operation.Conclusion The accuracy of fine needle aspiration cytology has important significance for the diagnosis of male breast cancer,can be used as a mean of detecting male breast tumor as benign or malignant.

关 键 词：活组织检查 针吸 乳腺肿瘤 男性 

分 类 号：R737.9[医药卫生—肿瘤]