细针穿刺针吸细胞学检查对乳腺癌的诊断价值

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细针穿刺针吸细胞学检查对乳腺癌的诊断价值

作者：何娟

来源：《健康必读·下旬刊》2018年第09期

【摘要】：目的探究细针穿刺针吸细胞学检查对乳腺癌的诊断价值。方法对选择的63

例拟诊为乳腺癌的乳腺肿瘤患者，用一次性装有7号针头的注射器（10ml）予以穿刺涂片、染色以及细胞学检查，并对比检查结果和术中冻冷切片、术后石蜡切片病理学检查结果。结果

细针穿刺针吸细胞学检查结果显示：良性肿瘤细胞24例，乳腺恶性肿瘤39例；术中冻冷切片、术后石蜡切片检查结果：良性25例，恶性肿瘤38例；与术中冰冻切片与术后病理学检验结果比较显示，FNAC阳性诊断符合率为96.00%，出现假阳性1例（浸润性导管癌），假阳

性比例为2.86%。FNAC细胞学检验准确率高，与病理检查无显著性差异（P>0.05）。结论乳腺细针穿刺针吸细胞学具有操作简便、诊断准确以及快速的特点，对乳腺肿瘤病理性质的诊断价值较高。

【关键词】：乳腺癌；细针穿刺针吸细胞学；诊断；病理

Abstract： objective to explore the diagnostic value of fine needle aspiration cytology in breast cancer. Methods Sixty-three patients with breast cancer who were diagnosed as breast cancer were examined by puncture smear， staining and cytology with a single needle 7 syringe （10ml）， and the results were compared with frozen sections during operation. Results of pathological examination of paraffin section after operation. Results the results of fine needle aspiration cytology showed that 24 cases of benign tumor cells， 39 cases of breast malignant tumor， 25 cases of benign tumor， 38 cases of malignant tumor， 25 cases of benign tumor and 38 cases of malignant tumor were examined by frozen cold section during operation and paraffin section after operation. Intraoperative frozen section and postoperative pathology The results showed that the coincidence rate of FNAC positive diagnosis was 96.00 and false positive was found in 1 case （invasive ductal carcinoma， false positive rate was higher than 2.86%.FNAC cytology examination accuracy， there was no significant difference between FNAC positive and pathological examination （P > 0.05）. Conclusion the fine needle aspiration cytology of mammary gland has the characteristics of simple operation， accurate diagnosis and rapid diagnosis， and has high diagnostic value for the pathological properties of breast tumors.

Keywords： breast cancer； fine needle aspiration cytology； diagnosis； pathology

【中图分类号】R56 【文献标识码】A 【文章编号】1672-3783（2018）09-03--01

乳腺癌属于女性一种最为常见的恶性肿瘤，发病率呈逐年增加的趋势，并且呈年轻化发展，对乳腺癌的早期发现和诊断对于提高治疗效果和改善预后有着显著的临床意义。现阶段对