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目的探讨乳腺针吸细胞病理学对乳腺癌早期诊断应用价值。方法用5~10ml一次性塑料注射器,对乳腺肿大或肿块及乳头溢液1324例患者进行定位针吸细胞病理学诊断及分型诊断,并与临床及病理组织学、CT、超声、钼靶、DNA、微核、结核抗体、CA153肿瘤标志物等对照。结果乳腺针吸细胞病理学不仅对乳腺疾病诊断有重要适用价值,而且对乳腺癌早期诊断及分型诊断有重要价值,特别对鉴别乳腺增生及乳腺纤维腺瘤有否癌变有重要指导意义。穿刺成功率高达100%,早期诊断率16.9%,总诊断准确率高达98.6%,创历史新高。结论乳腺针吸细胞病理学具有创伤小、简单快速、安全可靠、经济实用、结果准确等优点,各项技术指标明显高于传统诊断方法,是目前任何方法无法取代的,有较高推广实用价值。
Objective To investigate the diagnostic value of needle aspiration cytopathology in breast cancer for early diagnosis. Methods A total of 1324 patients with breast enlargement or lumps and nipple discharge were diagnosed by aspiration cytology and subtype diagnosis with 5 ~ 10ml disposable plastic syringes. And they were compared with clinical and histopathology, CT, ultrasound, mammography , DNA, micronuclei, tuberculosis antibodies, CA153 tumor markers and other controls. Results Breast needle aspiration cytopathology is not only valuable for the diagnosis of breast disease, but also has important value in the early diagnosis and classification of breast cancer, especially for the differential diagnosis of breast hyperplasia and breast fibroadenoma. Puncture success rate as high as 100%, the early diagnosis rate of 16.9%, the total diagnostic accuracy of up to 98.6%, a record high. Conclusions Breast needle aspiration cytopathology has the advantages of small trauma, simple and rapid, safe and reliable, economical and practical, accurate results, the technical indicators were significantly higher than the traditional diagnostic methods, is any method can not be replaced at present, there is a higher promotion of practical value .