细针吸取细胞学诊断乳腺包块548例分析  

CYTOLOGY ANALYSIS OF 548 CASE BREAST MASSES BY FINE NEEDLE ASPIRATION

作　　者：刘怀[1] 

机构地区：[1]九江学院附属医院检验科,九江332000

出　　处：《九江医学》2002年第4期203-204,207,共3页Jiujiang Medical Journal

摘　　要：目的 :探讨细针吸取细胞学 (FNAC)对乳腺恶性肿瘤诊断的敏感性。方法 :对 5 48例乳腺包块患者行FNAC检查 ,其中 2 83例手术后获病理组织学诊断 ,两者进行比较 ,此 2 83例中有 2 17例行AgNOR辅助检查 ,其结果与病理组织学进行比较。结果 :① 5 48例FNAC检查恶性肿瘤 (Ⅳ级 ) 14 5例 ,可疑癌 (Ⅲ级 ) 41例 ,良性病变 (Ⅱ级 ) 2 3 0例 ,炎症 (Ⅰ级 ) 10 5例 ,取材不满意者 (0级 ) 2 7例。② 2 83例中病理组织学诊断恶性肿瘤 13 3例 ,良性肿瘤15 0 ;FNAC检查为 :Ⅳ级 116例 ,Ⅲ级 17例 ,Ⅱ级 12 4例 ,Ⅰ级 2 0例 ,0级 6例 ,FNAC的诊断符合率为 90 %。③ 2 17例中病理组织学诊断恶性肿瘤 12 9例 ,良性肿瘤 88例 ,FNAC结果为Ⅳ级 12 7例 ,Ⅲ级 3例 ,Ⅱ级 72例 ,Ⅰ级 15例 ,符合率为 91%。结论 :FNAC对乳腺恶性肿瘤的诊断较为敏感。Objective:To explore the sensitivity of breast carcitoma cliagnosis by fine needle aspiration cytology (FNAC)of breast masses.Method:548 cases breast masses were examined respectively by FNAC,of them 283 cases accepted operations and compared to their histopathologic diagnosis.Inaddition,217 cases of 283 were examined with AgNoR and their results were compared to histopathologic diagnosis.Results:①By FNAC,145 of 548 cases were malignant tumor (Ⅳ),41 cases suspicious carcinoma (Ⅲ),230 cases benigh tumor (Ⅱ),105 cases were inflammation (Ⅰ) ,27 cases material unsatisfied (0).②There were 133 cases malignant tumor and 150 cases benigh tumor in 283 cases by histopathologic diagnosis,And by FNAC there were 115 cases grade Ⅳ,17 cases grade Ⅲ,124 cases grade Ⅱ,20 cases grade Ⅰ,6 cases grade zere.The FNAC diagnosis coincidence rate was 90%.③There were 129 cases malignant tumor and 88 cases benign tumor in 217 cases by histopathologic diagnosis.By FNAC method,there were 127 cases grade Ⅳ,3 cases grade Ⅲ,72 cases grade Ⅱ,15 cases grade Ⅰ.The coincidence rate was 91%.Conclusion:The FNAC of breast masses has high sensitivity of breast carcitoma diagnosis.

关 键 词：细针吸取细胞学 诊断 乳腺包块 乳腺癌 病理组织学 

分 类 号：R737.9[医药卫生—肿瘤] R730.[医药卫生—临床医学]