摘要
目的探讨超声引导下空芯针穿刺活检(US-CNB)对乳腺导管扩张症(MDE)的诊断价值。方法对疑似MDE的89例患者予US-CNB,1周内予开放性活检(EP),并将病理结果与之对比评估其一致性。结果 US-CNB病理报告MDE 72例,而EP为73例,敏感性98.6%,特异性100%。组间一致性检验KAPPA值为0.928,两者的一致性较好。结论 MDE的临床表现与乳腺癌相似,但治疗及预后明显相异。运用US-CNB对MDE可提供病理确诊依据,准确、简便、安全,提高早期检出率,为下步治疗提供依据。
Objective To evaluate the diagnostic value of ultrasound - guided core needle biopsy（ US - CNB） as a preoperative diagnostic modality for mammary duct ectasia. Methods Data were collected prospectively from October 2007 to March 2010 for 89 cases ultrasound- guided core needle biopsy that were followed by excisional breast procedure（EP） within 1 week at Xixiang People＇s Hospital. The pathological diagnosis on US - CNB was then compared with the findings of the excisional biopsy to evaluate the consistency. Results US - CNB showed 73as mammary duct ectasia,as the EP showed 74. The sensitivity for with CNB Was 98.6% and the specificity Was 100%. It produces a kappa value of 0. 928which indicates finer agreement between the principal histology identified at USB relative to that identified at EP. Conclusion Mammary duct ectasia is similar to breast cancinoma in clinic, but they are much different at the treatment and prognosis. US - CNB can accurately support the exact pathological diagnosis to mammary duct ectasia safely and simply, then it can early affirm the diagnosis to provide the right basis for the next treatment.
出处
《安徽医学》
2011年第5期655-657,共3页
Anhui Medical Journal
