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目的探讨空芯针穿刺活检技术在基层医院乳腺癌的诊断价值,提高术前诊断率,为根治性手术及术前新辅助治疗提供依据。方法回顾性分析太和县中医院2004年1月-2010年12月共126例行空芯针穿刺活检可疑乳腺癌患者,标本均常规行快速石蜡切片及免疫组织化学等病理学检查。结果穿刺成功率100%。病理确诊率98.4%。快速石蜡病理诊断浸润性导管癌103例,导管内癌2例,乳腺纤维瘤16例,乳腺腺病5例,其中在良性病变中,假阴性2例。结论空芯针穿刺病理学检查在乳腺癌诊断价值中是一种损伤小、方便可靠、患者易于接受的方法,在基层医院值得推广。
Objective To investigate the diagnostic value of core needle biopsy technique in breast cancer in primary hospitals, increase the preoperative diagnosis rate, and provide basis for radical surgery and preoperative neoadjuvant therapy. METHODS: A total of 126 patients with suspicious breast cancer who underwent needle biopsy from January 2002 to December 2010 in Taihe County Hospital were retrospectively analyzed. Fast paraffin sections and immunohistochemistry were routinely performed on specimens. Results The puncture success rate was 100%. The pathological diagnosis rate was 98.4%. Fast pathological paraffin pathology diagnosed 103 cases of invasive ductal carcinoma, 2 cases of ductal carcinoma, 16 cases of breast fibroids, 5 cases of breast adenopathy, of which in benign lesions, false negative in 2 cases. Conclusions Hollow-needle aspiration pathological examination is a small, convenient and reliable method for the diagnosis of breast cancer. It is worthy of popularization in primary hospitals.