中德临床肿瘤学杂志（英文版）2008，Vol.7Issue(8)：473-476,4.
Combined use of fine needle aspiration cytology and full field digital mammography in preoperative assessment of breast masses
Combined use of fine needle aspiration cytology and full field digital mammography in preoperative assessment of breast masses
Yanan Zhang 1Junsheng Li 1Zhenling Ji 1Wenhao Tang1
作者信息
- 1. Department of General Surgery, Zhongda Hospital, Southeast University, Nanjing 210009, China
- 折叠
摘要
Abstract
Objective: To evaluate the accuracy of these two methods and focus on the analysis and management of the false-negative cases.Methods: Results of full field digital mammography (FFDM) and fine needle aspiration cytology (FNAC)were obtained and analyzed from a consecutive of 102 women with palpable breast masses, results were correlated with the histopathological findings.Results: Of the 102 cases, malignancy was confirmed in 43 cases (42.16%) by final pathological examination, the sensitivity and specificity of cancer detection with FNA cytology was 90.7% (39/43) and 89.8% (53/59), respectively, the whole accuracy was 90.2% (92/102), with a positive predictive value of 86.7% (39/45) and a negative predictive value of 93.0% (53/57).FFDM gave a sensitivity of 88.4% (38/43), specificity of 83.1% (49/59), and whole accuracy 85.3% (87/102), the positive predictive value and negative predictive value was 79.2% (38/48) and 90.7% (49/54), respectively.All the FNAC-negative cancer cases were suggestive of malignancy by FFDM findings, however, the benign cases which presentas equivocal finding by FNA cytology, could not be ruled out the presence of malignancy.Conclusion: FNAC and FFDM both are accurate, effective and economical diagnostic modalities, combined use of these two methods can reduced the misdiagnosis rate of breast masses.关键词
breast carcinoma/digital mammography/fine needle aspiration cytology (FNAC)Key words
breast carcinoma/digital mammography/fine needle aspiration cytology (FNAC)分类
医药卫生引用本文复制引用
Yanan Zhang,Junsheng Li,Zhenling Ji,Wenhao Tang..Combined use of fine needle aspiration cytology and full field digital mammography in preoperative assessment of breast masses[J].中德临床肿瘤学杂志（英文版）,2008,7(8):473-476,4.
