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作 者:王音[1] WANG Yin(Department of Pathology,Chifeng City Hospital of Inner Mongolia,Chifeng 024000,China)
出 处:《中国全科医学》2017年第B12期120-122,共3页Chinese General Practice
摘 要:目的分析细针穿刺细胞学和组织病理学在乳腺肿瘤诊断中的差异和效果。方法选择2015年1月—2017年1月在内蒙古赤峰市医院接受治疗的乳腺肿瘤患者,以其中的的72例患者为本次研究对象,分别采用细针穿刺细胞学和组织病理学诊断,比较结果。结果组织病理学和细针穿刺细胞学在诊断的准确性方面差异不大。细针穿刺细胞学诊断符合率为95.8%,良性肿瘤病变诊断特异性为97.8%,恶性肿瘤诊断敏感性为92.6%,误诊率为5%,漏诊率为7.4%,潜在假阳性率为1.4%。结论对乳腺肿瘤患者采用细针穿刺细胞学治疗具有微创、经济、安全、准确率高等特点,但是在具体治疗中也存在一定的不足之处需要和组织病理学进行配合应用,使诊断效率得到提高。Objective To analyze the differences and effects of fine needle puncture cytology and histopathology in breast cancer diagnosis.Methods 72 breast cancer patients from January 2015 to January 2017 in Chifeng City Hospital of Inner Mongolia were treated as the study object.They received fine needle biopsy cytology and histopathology diagnosis.Results were compared.Results According to the results of the study,histopathology and fine needle puncture cytology had little difference in the accuracy of diagnosis.Fine needle puncture cytological diagnosis coincidence rate was 95.8%.The benign lesions diagnostic specificity was 97.8%.Malignant tumor diagnosis sensitivity was 92.6%.The misdiagnosis rate is 5%.The missed diagnosis rate was 7.4%,and the potential false-positive rate was 1.4%.Conclusion Using fine needle biopsy cytology in breast tumor treatment is minimally invasive,safe,economic and high accuracy etc.But the specific treatment also has certain deficiency needs and histopathological application to cooperate with,which makes the diagnosis efficiency improved.
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