PREOPERATIVE DIAGNOSTIC-ACCURACY OF FINE-NEEDLE ASPIRATION IN THE MANAGEMENT OF BREAST-LESIONS - COMPARISON OF SPECIFICITY AND SENSITIVITY WITH CLINICAL EXAMINATION, MAMMOGRAPHY, ECHOGRAPHY, AND THERMOGRAPHY IN 249 PATIENTS

被引：35

作者：

NEGRI, S

BONETTI, F

CAPITANIO, A

BONZANINI, M

机构：

[1] Department of Pathology, Sacro Cuore Hospital, Negrar (Verona)

[2] The Institute of Pathology, University of Verona, Verona

[3] The Department of Pathology, Carlo Poma Hospital, Mantova

来源：

DIAGNOSTIC CYTOPATHOLOGY | 1994年 / 11卷 / 01期

关键词：

MANAGEMENT OF BREAST LESIONS; FINE-NEEDLE ASPIRATION; CLINICAL EXAMINATION; MAMMOGRAPHY; ECHOGRAPHY; THERMOGRAPHY; SENSITIVITY; SPECIFICITY;

D O I：

10.1002/dc.2840110103

中图分类号：

R446 [实验室诊断]; R-33 [实验医学、医学实验];

学科分类号：

1001 ;

摘要：

Two hundred and forty-nine women suffering from breast problems underwent a complete series of tests including clinical examination, mammography, echography, thermography, and fine-needle aspiration (FNA). Ninety-four of these patients were shown to be positive or to have suspected malignancy. Accordingly, they underwent surgical excision followed by histologic examination, while the remaining patients were re-examined after 12 to 18 mo in order to exclude false negatives. The analysis of specificity and sensitivity of every single procedure showed that FNA describes the best degree of sensitivity and specificity but no procedure allows, by itself the detection of all carcinomas. When considered in combination, clinical examination, mammography, and fine-needle aspiration have a sensitivity of 100% and a specificity of 49%, and are the best diagnostic tests for a correct assessment of mammary lesions. Thermography and echography showed a low degree of sensitivity and should not be included in the routine diagnostic procedure of breast lesions. (C) 1994 Wiley-Liss, Inc.

引用

页码：4 / 8

页数：5

共 31 条

[1]

Kreuzer G, Boquoi E., Aspiration biopsy cytology, mammography and clinical exploration: A modern set up in diagnosis of tumors of the breast, Acta Cytol, 20, pp. 319-323, (1976)

[2]

Gardecki T, Melcher DH, Hogbin BM, Smith RS, Aspiration cytology in the preoperative management of breast cancer, Lancet, 11, pp. 790-792, (1980)

[3]

Dixon JM, Anderson TJ, Lamb J, Nixon SJ, Forrest APM, Fine needle aspiration cytology, in relationships to clinical examination and mammografy in the diagnosis of a solid breast mass, Br J Surg, 71, pp. 593-596, (1984)

[4]

Rimstein A, Stenkvist B, Johanson H, Lindgren A., The diagnostic accuracy of palpation and fine‐needle biopsy and an evaluation of their combined use in the diagnosis of breast lesions, Annals of Surgery, 182, pp. 1-8, (1975)

[5]

Hermansen C, Poulsen HS, Jensen J, Et al., Diagnostic reliability of combined physical examination, mammografy and fine needle puncture (triple test) in breast tumors. A prospective study, Cancer, 60, pp. 1866-1871, (1987)

[6]

Norris HJ, Taylor HB, Relationship of histologic features to behavior of cystosarcoma phyllodes. Analysis of ninety‐four cases, Cancer, 20, pp. 2090-2099, (1967)

[7]

Cornillot M, Verhaeghe M, Cappelaere P, Clay A., Place de la cytologie par ponction dans le diagnostic des tumeurs du sein (2267 examens cytologiques), Lille Med, 16, pp. 1027-1031, (1971)

[8]

Van Bogaert LJ, Mazy G., Reliability of the cyto‐radio‐clinical triplet in breast pathology diagnosis, Acta Cytol, 21, pp. 60-62, (1977)

[9]

Bell DA, Hajdu SI, Urban JA, Gaston JP, Role of aspiration cytology in the diagnosis and management of mammary lesions in office practice, Cancer, 51, pp. 1182-1189, (1983)

[10]

Hansell DM, Cooke JC, Parson CA, The accuracy of mammography alone and in combination with clinical examination and cytology in the detection of breast cancer, Clin Radiol, 39, pp. 150-153, (1988)

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