论文部分内容阅读
目的探讨乳腺导管内乳头状瘤癌变的细胞学诊断与病理分析。方法 54例乳腺导管内乳头状瘤患者,全部患者均进行乳头溢液涂片与细针穿刺细胞学涂片,将其置于光镜下对细胞学特征予以详细观察,对比穿刺细胞学诊断结果与组织病理学诊断结果。结果穿刺细胞学诊断符合率为81.48%(44/54),误诊率为18.52%(10/54),其中误诊成导管上皮乳头状增生患者6例(60.00%),误诊成乳腺癌患者4例(40.00%)。结论临床诊断乳腺导管内乳头状瘤癌变采取乳头溢液涂片检查结合细针穿刺细胞学诊断较为准确,对术前诊断有指导作用,但是诊断病变复杂且多发的患者时要慎重选择,特别是针对乳腺肿块伴随溢液诊断成乳腺癌的患者,最好是选择切除组织病理学检查。
Objective To investigate the cytological diagnosis and pathological analysis of breast cancer in ductal papilloma. Methods 54 patients with intraductal papilloma of the breast were undergoing nipple discharge smear and fine needle aspiration cytology smear. They were placed under light microscope to observe the cytological characteristics in detail and compared with the results of aspiration cytology diagnosis. Results with histopathological diagnosis. Results The coincidence rate of puncture cytology was 81.48% (44/54), misdiagnosis rate was 18.52% (10/54), 6 cases (60.00%) were misdiagnosed as ductal papillary hyperplasia, and 4 cases were misdiagnosed as breast cancer. (40.00%). Conclusion The clinical diagnosis of breast intraductal papilloma with cancerous nipple discharge examination combined with fine needle aspiration cytology is more accurate, and has a guiding effect on preoperative diagnosis. However, it is necessary to choose carefully when diagnosing patients with complex and multiple lesions, especially For breast cancer patients with breast tumors associated with discharge diagnosis, it is best to choose to remove histopathological examination.