首页> 外文期刊>Acta Cytologica: The Journal of Clinical Cytology and Cytopathology >Fine needle aspiration cytology of breast masses in children and adolescents: experience with 1404 aspirates.
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Fine needle aspiration cytology of breast masses in children and adolescents: experience with 1404 aspirates.

机译:儿童和青少年乳腺细针穿刺细胞学检查:1404例吸出物的经验。

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摘要

OBJECTIVE: To study the distribution and efficacy of fine needle aspiration cytology (FNAC) in the diagnosis of breast lesions in pediatric and adolescent patients. STUDY DESIGN: From January 1993 to December 2006, the cytology reports of 1404 breast aspirates (178 males and 1226 females) performed on children and adolescents (ranging from 1 to 21 years) were reviewed. Of these 41, 179, 506 and 678 aspirates belonged to the age group 1-<12, 12-<16, 16-< 19 and 19-21 years, respectively. RESULTS: The morphologic spectrum seen in females was inflammatory lesions (4%), benign ductal cells (20%), ductal hyperplasia (0.6%), papillary lesions (0.7%), benign neoplasms (69%), suspicious cytology (0.3%) and cancer (0.3%). Of the benign neoplasms, 98% (831 of 851) were fibroadenomas, with 12 cases of phyllodes (benign), 5 cases of lipoma and 3 cases of adenoma. There were 3 cases of malignancy (2 adenocarcinoma and 1 non-Hodgkin's lymphoma). Only 3% of the male breast aspirates provided a diagnostic challenge, while 89% of them showed benign ductal cells. CONCLUSION: FNAC of children and adolescent breast masses is helpful and can reduce the need for open surgery to prevent later deformity. The aspirates are mostly benign and can be managed conservatively.
机译:目的:探讨细针穿刺细胞学检查(FNAC)在小儿和青少年患者乳腺病变中的诊断价值。研究设计:从1993年1月至2006年12月,对在儿童和青少年(1至21岁)上进行的1404例乳腺抽吸物(男178例,女1226例)的细胞学报告进行了回顾。在这41、179、506和678个抽吸物中,分别属于1- <12岁,12- <16岁,16- <19岁和19-21岁年龄段。结果:女性的形态学特征为炎性病变(4%),良性导管细胞(20%),导管增生(0.6%),乳头状病变(0.7%),良性肿瘤(69%),可疑细胞学(0.3%) )和癌症(0.3%)。在良性肿瘤中,纤维腺瘤占98%(851例中的831例),其中叶状体(良性)12例,脂瘤5例,腺瘤3例。有3例恶性肿瘤(2例腺癌和1例非霍奇金淋巴瘤)。仅有3%的男性乳房吸出物提供了诊断挑战,而其中89%的人表现出良性导管细胞。结论:儿童和青春期乳腺肿块的FNAC是有帮助的,可以减少开腹手术的需要,以防止以后的畸形。抽吸物多数为良性,可保守治疗。

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