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Title   유방괴종 진단에서의 세침흡인 세포검사의 의의 ( The Diagnostic Value of Fine Needle Aspiration Cytology of The Breast Masses )
Publicationinfo   1993 Jan; 025(04): 507-514.
Key_word   Breast masses, Fine needle aspiration cytology
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Abstract   Fine needle aspiration cytology is a well accepted procedure for both the diagnosis and manegement of the breast masses. During the period from January 1991 to December 1992 at the Department of Surgery, Soon Chun Hyang University Hospital, the authors performed 478 fine needle aspiration cytology of the breast masses among which l66 cases were hietologically examined. The results were as follows: 1) Compariaon between the results of the fine needle aspiration cytology and the histologic findings revealed that fine needle aspiration cytology had a sensitivity 95.55%, a specificity of a 99.17%, a false negative rate af 4.44%, a false positive rate of 0.08%, a positive predietive value 97.72%, a negative predicitive value 98.36% and an overall diagnostic accuracy of 98.19%. 2) In order to determine histological special typee of fine needle aspiration cytoloay on breast carcinoma, we retrospectively studied 30 cases of breast carcinomas diagnosed by fine needle aspiration cytology with subsequent histologic confirmation. The predictive value with the his- tology was 93.33%. 3) In order to determined the accuracy of Blacks nuclear grading of fine needle aspiration cytology on breast carcinoma, we retrospectively studied 22 cases of infiltrating ductal carcinomas diagnosed by fine needle aspiration cytology with subsequent histology confirmation. The predictive value with the histology was 86.36%. This results of show that fine needle aspiration cytology of the breast masses is a accurate diagnostic method. This results also suggestive that the evaluation of nuclear grading and his- tological special type of fine needle aspiration cytology can predict clinical outcome and decide the way of managenent of breast csncer.
저 자   장광식(Kwang Sik Jang),박경규(Kyung Kyw Park),이민혁(Min Hyuk Lee),김익수(Ik Soo Kim)