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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Fine Needle Aspiration Cytology of Male Breast Lesions ? A Retrospective Study Over a Six Year Period
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Fine Needle Aspiration Cytology of Male Breast Lesions ? A Retrospective Study Over a Six Year Period

机译：男性乳房病变的细针穿刺细胞学检查？六年回顾性研究

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Background: Fine needle aspiration cytology (FNAC) has a well-established role in the management of palpable breast lumps. However breast masses in males are rarely aspirated and hence there is limited cytopathologic experience. The aim of our study was to determine the efficacy of FNAC in the diagnosis of male breast lesions and also we attempted to describe the cytomorphological features of some of these lesions.Materials and Methods: Data on male breast FNAC done between 2008 to 2013 were retrieved from the records of the cytopathology laboratory. FNAC diagnosis were categorized as benign, malignant, suspicious for malignancy and inadequate or unsatisfactory. Cytohistologic correlation was done with data from histopathology records. Sensitivity, specificity and diagnostic accuracy were calculated using standard statistical methods.Results: Forty out of 1098 patients undergoing breast FNAC were males. Histopathology was available in 8 (20%) out of 40 cases. There were no false positive or false negative diagnoses. FNAC had a sensitivity, specificity and diagnostic accuracy of 100% for male breast lesions.Conclusion: FNAC is a very accurate tool for the diagnosis of male breast lesions. It is highly sensitive and specific with good cytohistologic correlation. To reduce the high rate of surgical biopsies of benign male breast masses, we conclude that FNAC should be performed as a standard procedure in the clinical evaluation of male breast lesions.
机译：背景：细针穿刺细胞学检查（FNAC）在可触及的乳腺肿块的治疗中具有公认的作用。但是，男性的乳房肿块很少被吸出，因此细胞病理学经验有限。本研究的目的是确定FNAC在男性乳腺病变诊断中的功效，并试图描述其中某些病变的细胞形态学特征。材料与方法：检索2008年至2013年间男性乳腺FNAC的数据来自细胞病理学实验室的记录。 FNAC诊断分为良性，恶性，可疑恶性，不充分或不满意。细胞组织学相关性用组织病理学记录中的数据完成。结果：在1098例行FNAC的男性患者中，有40例是男性。 40例病例中有8例（20％）可获得组织病理学检查。没有假阳性或假阴性诊断。 FNAC对男性乳腺病变的敏感性，特异性和诊断准确性为100％。结论：FNAC是诊断男性乳腺病变的非常准确的工具。它是高度敏感和特异性的，具有良好的细胞组织学相关性。为了降低良性男性乳房肿块的手术活检率，我们得出结论，在男性乳房病变的临床评估中，应将FNAC作为标准程序进行。

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