超声评估与超声引导下细针穿刺细胞学检查在乳腺肿块诊断中的临床价值

摘要

目的：探讨超声与超声引导下细针穿刺细胞学检查（US-FNAC）评估乳腺肿块的临床意义。方法分析96例乳腺肿块的超声表现、超声引导下细针穿刺细胞学检查结果及随访和手术病理结果。结果18例未能获得细胞学诊断（18.7%），78例获得细胞学诊断（81.3%），其中25例手术。与手术病理结果对照，超声评估、US-FNAC的符合率为88.0%，US-FNAC诊断乳腺癌的敏感性为87.5%（14/16），特异性为88.9%（8/9）。结论超声评估结合超声引导下细针穿刺细胞学检查对乳腺肿块的正确处理具有重要的临床意义。%Objective To explore the clinical value of ultrasound evaluation and ultrasound-guided fine needle aspiration cytology (US-FNAC) in diagnosing breast lumps.Methods The ultrasonic manifestations, US-FNAC results, followed-up and surgical pathology results of 96 patients with breast lumps were analyzed.Results The cytological diagnoses of 18 patients weren’t obtained while those of the other 78 patients (25 cases had underwent surgeries) were obtained through US-FNAC combined with ultrasound evaluation. The diagnose accordance rate of US-FNAC combined with ultrasound evaluation was 88.0% compared with the surgical pathology diagnoses. The sensitivity and speciifcity of US-FNAC in diagnosing breast cancer were 87.5% and 88.9%, respectively.Conclusion Ultrasonic evaluation combined with US-FNAC plays an important role in the correct handling of breast lumps.