Objective To evaluate the clinical value of fine needle aspiration cytology (FNAC) for breast cancer surgery. Methods FNAC was performed in 530 patients highly suspected of breast cancer from January 2004 to January 2009 in Peking Union Medical College Hospital. The FNAC-positive cases received radical operation directly, while the negative cases received open biopsy. Results Of all 530 cases, 325 cases were FNAC-positive, and the diseases were histopathologically confirmed to be malignant. Among 205 FNAC-negative cases, 137 cases were histopathologically confirmed to be malignant and 68 benign. Conclusion FNAC is useful in the deciding surgical modes for women with potentially malignant diseases.%目的 研究乳腺细针穿刺细胞学(FNAC)检查在乳腺癌手术治疗中的临床应用价值.方法 选取2004年1月至2009年1月在北京协和医院初诊考虑乳腺癌可能性大的530例女性患者行FNAC检查.根据FNAC结果决定进一步的治疗方案.所有患者均接受了乳腺手术,术后进行组织病理学诊断.结果 FNAC检查阳性的325例患者直接行乳腺癌根治性手术,术后组织病理学证实均为乳腺癌.FNAC检查阴性的205例患者接受开放活检手术,术后组织病理学证实137例为乳腺癌,68例为非乳腺癌.结论 FNAC有助于为怀疑乳腺恶性肿瘤者选择适当的术式.
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