乳腺癌针吸细胞学诊断及其病理组织学诊断结果比较.docVIP

乳腺癌针吸细胞学诊断及其病理组织学诊断结果比较 王晓洁 (北京市房山区第一医院病理科北京102400) 【摘要】目的：探讨乳腺癌针吸细胞学诊断与病理组织学诊断的结果符合 率。方法：选取2010年10月-2013年10月我院乳腺门诊接收的326例经针吸 细胞学诊断的乳腺疾病患者，同期行病理组织学诊断，对比两者诊断结果，统计 针吸细胞学诊断符合率。结果：病理组织学诊断发现326例患者中有82例乳腺 癌，针吸细胞学诊断发现有80例，其中，导管内癌5例，浸润性导管癌62例， 髓样癌5例，浸润性小叶癌6例，粘液性癌2例，有2例乳腺癌患者被误诊为囊 肿病，经病理组织学诊断证实为乳腺积乳囊肿，二者的诊断符合率为97.56%。 结论：针吸细胞学诊断在乳腺癌中的诊断正确率较高，可作为乳腺癌筛查的重要 方法。 【关键词】乳腺癌；针吸细胞学；病理组织学；诊断；符合率 【中图分类号】R36113 【文献标识码】B 【文章编号】1003-5028 (2015) 8-0489-02 【Abstract】 Objective: To study the needle aspiration cytology in the diagnosis of breast cancer and histologic diagnosis coincidence rate of results. Methods: choose in October 2010 - in October 2013, 326 cases of mammary gland clinic to receive in our by needle aspiration cytology in the diagnosis of breast disease patients, at the same time the pathological and histological diagnosis of line contrast both diagnosis, statistical needle aspiration cytology diagnosis coincidence rate. Results: the histologic diagnosis was found in 326 patients with 82 cases of breast cancer, the needle aspiration cytology in the diagnosis of found 80 cases, among them, the intraductal carcinoma in 5 cases, the infiltrating ductal carcinoma 62 cases, medullary carcinoma in 5 cases, 6 cases of invasive lobular carcinoma, mucinous carcinoma 2 cases, 2 cases of breast cancer patients were misdiagnosed as cyst disease, confirmed by pathological histology diagnosis for breast milk cyst, the diagnostic coincidence rate was 97.56%. Conclusion: needle aspiration cytology diagnosis in breast cancer diagnosis accuracy is higher, can be used as a important method of breast cancer screening. 【Key words］ breast cancer; Needle aspiration cytology; The pathological histology; Diagnosis; Coincidence rate 乳腺癌是发生在乳腺上皮组织的一种恶性肿瘤，近年来发病率呈升高趋势。 虽然乳腺不是维持机体活动的必要器官，原位乳腺癌也不会致命，但是癌变会使 乳腺细胞失去正常的生理特性，进而变得松散，一旦松散的癌细胞发生脱落就会 随血液散布全身危及生命［1】。在乳腺门诊，医生通常会在了解病史后检查双侧 乳腺，并结合影像学检查结果作出诊断。针吸细胞学是通过细针穿刺病灶采集细 胞成分进行涂片检查的一种细胞学诊断方法，在乳腺癌诊断中，苏吸取的细胞成 分就是脱落细胞，由于苏具有操作简单、取样迅速、取材新鲜的优点，近年来已 成为细胞学诊断的重要辅助方法［2］。为进一步探