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目的 探讨乳腺针吸细胞学检查 (FNAC)诊断乳腺癌的要点及最大限度减少漏诊的方法。方法 通过对12 3 3例乳腺肿物病人的性别、年龄、肿物的部位及FNAC的诊断结果进行综合分析 ,特别是对有组织学核对的、细胞学检查诊断为疑癌细胞及癌细胞的病例进行详细观察 ,总结FNAC检查诊断乳癌的要点。结果 12 3 3例乳腺肿物 ,女1165例 ,男 68例 ,FNAC结果为良性细胞 986例 ,其中 6例重度增生细胞活检诊断为乳癌 ;可疑癌细胞 95例 ,其中 82例组织学诊断为乳癌 ,13例为乳腺增生症 ;癌细胞 12 8例 ,全部经组织实证实。结论 乳腺FNAC检查方法简便易行 ,确诊的癌细胞准确性较高。细胞学涂片中散在细胞的异型性及细胞的大小不等、形态不一即是癌细胞的主要特点 ,也是细胞学诊断的关键。
Objective To investigate the essentials of breast needle aspiration cytology (FNAC) in diagnosis of breast cancer and to minimize the missed diagnosis. Methods By analyzing the gender, age, location of tumor and the diagnostic results of FNAC in 123 3 cases of breast tumor, especially the diagnosis of suspected cancer cells and cancer cells by cytology Cases were observed in detail, summarize the main points of FNAC examination diagnosis of breast cancer. Results 12 3 3 cases of breast tumor, 1165 women, 68 males, 986 FNAC results were benign cells, 6 cases of severe hyperplastic cell biopsy diagnosed as breast cancer; 95 cases of suspected cancer cells, of which 82 cases of histological diagnosis of breast cancer , 13 cases of breast hyperplasia; cancer cells in 12 cases, all confirmed by the organization. Conclusion The method of breast FNAC examination is simple and easy, and the accuracy of the diagnosed cancer cells is high. Cytology smears scattered in the atypia of cells and the size of the cells, different forms that are the main features of cancer cells, but also the key to cytological diagnosis.