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目的:探讨术中切缘刮片细胞学与快速病理组织学对乳腺癌保乳术切缘的诊断价值。方法:6例患者行乳腺癌保乳术,术中对乳腺癌切缘行细胞学刮片同时取活检行快速组织学观察,并与术后病理诊断对比研究。结果:6例共24次切缘刮片细胞学诊断错误1次,冰冻检查诊断错误1例,两者联合应用诊断正确率100%。结论:术中刮片细胞学快速实用,与快速组织学检查同时使用可提高残端癌的检出率,同时掌握好乳腺导管上皮内瘤变的刮片细胞学形态,可更好预测残端癌发生的危险性。
Objective: To investigate the value of intraoperative edge smear cytology and rapid pathological histology in the diagnosis of breast cancer margins. Methods: Six patients underwent breast-conserving surgery. The intraoperative breast biopsy was performed simultaneously with biopsy for rapid histological observation and compared with postoperative pathological diagnosis. Results: Cytology was diagnosed in 24 cases with a total of 24 incisions, one in the cytology diagnosis, and one in the frozen diagnosis. The diagnostic accuracy was 100%. Conclusion: Intraoperative smear cytology is rapid and practical, and combined with rapid histological examination can improve the detection rate of stump cancer, while mastery of intraductal ductal intraepithelial neoplasia smear cytology can be more predictive of the stump The risk of cancer.