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目的 :观察乳腺肿物针吸细胞学诊断与组织病理学检查的符合率。方法 :对 1 66例乳腺肿物吸出组织 ,经巴氏 ( Papanicolaou)染色 ,参照分级标准及良、恶性肿瘤组织细胞的形态进行显微镜下早期诊断。结果 :1 66例针吸细胞学诊断与组织病理检查诊断符合率为 89.76%、灵敏度 84.81 %、特异度 94.2 5 %。其中良性肿瘤 69例 ,假阴性 1 2例 ( 1 2 .77% ) ;乳腺癌和高度怀疑有癌特征的 97例 ,假阳性 5例 ( 6.94% )。结论 :乳腺针吸细胞学检查在乳腺肿物的临床诊断中具有准确、可靠、安全、经济等重要意义 ,可以作为乳腺癌诊断的重要手段。
Objective: To observe the coincidence rate of needle aspiration cytology and histopathology in breast tumor. Methods: Tissue samples from 166 breast masses were detected by Papanicolaou, and classified according to the grading standards and the morphology of benign and malignant tumor cells under microscope. Results: The coincidence rate of needle aspiration cytology and histopathology in 1 66 cases was 89.76%, the sensitivity was 84.81% and the specificity was 94.2 5%. There were 69 cases of benign tumors and 12 cases of false negatives (12.77%). There were 97 cases of breast cancer and 5 cases (6.94%) of false-positive breast cancer. Conclusion: Breast needle aspiration cytology is of great significance in the clinical diagnosis of breast masses, which is accurate, reliable, safe and economical. It can be used as an important tool in the diagnosis of breast cancer.