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| 題 名 | The Value of Fine Needle Aspiration Cytology in the Diagnosis of the Breast Diseases=乳部疾病細針穿吸細胞學診斷之價值 |
|---|---|
| 作 者 | 郭守仁; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 19:2 1986.05[民75.05] |
| 頁 次 | 頁129-135 |
| 分類號 | 416.226 |
| 關鍵詞 | 乳部疾病; 細針穿吸細胞學; 診斷; |
| 語 文 | 英文(English) |
| 中文摘要 | 乳部細針穿吸細胞檢查為一種方便、安全、經濟、準確率高之乳部疾病診斷方法,在過去14個月中,我們利用這種方法來診斷150例良性與惡性乳部疾病。其中有49例被證明為乳癌,89例為良性乳部病灶。有二個病例為偽陽性。其中有11位病人組細針穿吸細胞檢查,診斷為乳癌後卽施行乳部切除手術。吸取之細胞標本不良者有12位,這些標本無適當之上皮細胞或上皮細胞族群可以加以判認。將這些結果與病理診斷,臨床追踪觀察比較分析如下:敏感性為87.0%,特異性為97.6%,準確為93.4%。其中有7位為偽陰性,因此於術前施行乳部病灶細針穿吸細胞學檢查是有價值,一方面可避免不必要的活體切片檢驗,另一方面可計劃進行下一步之手術且能有時間與病人及其家屬進行溝通工作,很值得推廣。 |
| 英文摘要 | Fine needle aspiration cytology can provide morphologic diagnosis of breast lesions accurately, efficiently, inexpensively, and safely. This technique has been used to diagnose 150 cases of benign and malignant breast disease over the last 14-month period. Forty-nine were identified as breast cancer and 89, asbenign lesions. A false positive group was diagnosed in two of the 49 aspirations from patients without carcinoma. Eleven patients with a positive diagnosis of carcinoma and with consistent clinical findings were informed of diagnosis prior to surgery and underwent mastectomy without the frozen section examination. Fine needle aspiration cytology was accurate in 93.4%, the false positive rate was 1.4%, and the false negative rate was 5.1% in these cases. No complications occurred with fine needle aspiration cytology, and patient acceptance of the procedure was good. This diagnostic technique is highly recommended on the basis of these results. |
本系統中英文摘要資訊取自各篇刊載內容。