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目的:探讨穿刺与切除病理诊断乳腺乳头状病变的临床应用价值。方法:以该院收治的110例乳腺乳头状病变患者为研究对象,给予患者穿刺与切除病理诊断,比较穿刺诊断与切除病理诊断的符合率和穿刺诊断的漏诊率。结果:经空心针穿刺诊断为乳头状瘤患者65例患者中,经切除病理诊断为乳头状瘤的患者41例,诊断符合率为63.08%,误诊率为36.92%;经空心针穿刺诊断为乳头状恶性肿瘤的20例患者中,经切除病理诊断为乳头状恶性肿瘤的患者13例,诊断符合率为65.00%,误诊率为35.00%;经空心针穿刺诊断为非典型导管内乳头状瘤的25例患者中,经切除病理诊断为非典型导管内乳头状瘤的患者18例,诊断符合率为72.00%,误诊率为28.00%。结论:对于乳腺乳头状病变患者的诊断,应结合穿刺与切除病理诊断,规范诊断标准。
Objective: To investigate the clinical value of puncture and resection pathological diagnosis of papillary papillary lesions. Methods: A total of 110 cases of papillary papillary lesions in our hospital were studied. The puncture and excision pathological diagnosis was given. The coincidence rate of puncture diagnosis and excision pathology diagnosis and the diagnosis rate of missed diagnosis were compared. Results: Of the 65 patients with papillomatosis diagnosed by needle aspiration, 41 patients were diagnosed as papillomatosis by pathological examination, the diagnostic coincidence rate was 63.08%, the rate of misdiagnosis was 36.92%. The diagnosis of papillary Of the 20 patients with malignant tumors, there were 13 patients with pathologically diagnosed papillary malignancies, the diagnostic coincidence rate was 65.00% and the rate of misdiagnosis was 35.00%. The diagnosis of atypical ductal papilloma Among the 25 patients, 18 cases were diagnosed as atypical ductal papilloma by pathology, the diagnostic coincidence rate was 72.00% and the misdiagnosis rate was 28.00%. Conclusion: The diagnosis of breast papillary lesions should be combined with puncture and excision pathological diagnosis, standard diagnostic criteria.