Author  
Place of duty  
Title   유방암 진단에서의 세침흡인 세포검사의 진단적 의의 ( The Value of Fine Needle Aspiration Cytology in the Diagnosis of Breast Cancer )
Publicationinfo   1993 Jan; 025(03): 383-390.
Key_word   Fine needle aspiration cytology(FNAC)
Full-Text  
Abstract   The authors reviewed 359 cases which had fine needle aspiraton cytology(FNAC) of breast mass from Jan. 199l to Dec. 1991 at Department of Surgery, Korea Cancer Center HospitaL The diagnostic accuracy of clinical examination, mammography, and FANC was compared with definitive histological findings in 118 cases among the 359 cases. The results from three diagnostic methods were as follows: I ) Clinical diagnosis based on history and physical examination had 92.6% of sensitivity, 6S% of specificity, and 82% of diagnostic accuracy. 2) Mammography had 70.6% of sensitivity, 82% of specificity, and 75.4% of diagnostic accura- CY. 3) Based on histopathologic diagnosis, FNAC had 94% of sensitivity, 5.9 of false negative, 94.4% of specificity, 5.5% of false positive, 89.5% of negative predictive value, 96.9% of positive predictive value, and 94.2% of diagnostic accuracy. No patient with malignant cytology was subsequently shown to have benign disease. FNAC is a less invasive procedure that appears to be superior to physical examination and mammography in establishing the diagnosis of clinically suspicious breast masses. However, clinical examination and mammography remain important procedures because they can identi- fy malignant lesions which cytoiogy faiis to do and also because some carcinomas can only be detected mammographically. We concluded that a combination of clinical examiniation and mammography, with fine needle aspiratian cytology performed by experienced surgeons with a good technique and interpreted by experienced pathologists, can identify all patients with breast cancer befare surgery.
저 자   김진섭(Jin Seob Kim),최동욱(Dong Wook Choi),이종인(Jong Inn Lee),백남선(Nam Sun Paik),문난모(Nan Mo Moon),김용규(Yong Kyu Kim)