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유방 병변의 세침흡인세포검사의 양성예측도

Other Titles
 Positive Predictive Values (PPV) of Fine Needle Aspiration(FNA) Cytology in Breast Lesions 
Authors
 윤정현  ;  김민정  ;  김은경  ;  문희정  ;  곽진영  ;  김지연  ;  김명현 
Citation
 Journal of the Korean Society for Breast Screening, Vol.6(1) : 13-18, 2009 
Journal Title
Journal of the Korean Society for Breast Screening(대한유방검진학회지)
ISSN
 1738-3501 
Issue Date
2009
Abstract
Purpose: To evaluate the positive predictive values (PPV) of breast lesions with suspicious or malignant fine needle aspiration (FNA) cytology. Materials and Methods: From April 2001 to July 2008, 24 patients (age: 18-60, mean: 42.69 yrs) who had previously been diagnosed with suspicious FNA cytology were included in our study. Six cases were diagnosed as suspicious for malignancy, 8 as atypia, and 10 as malignancy on the outside FNA cytology. We compared the ultrasonographic(US) findings with the final pathologic results. Results: Lesions on the breast ultrasound measured from 5-40 mm (mean: 15.6 mm). Among the 24 cases, 6 were diagnosed as category 3, 12 as category 4, and 6 as category 5. Ten (41.7%) of the 24 lesions were confirmed as malignancy. One (16.7%) of the 6 cases diagnosed as suspicious for malignancy on outside FNA was confirmed as malignant. Three (37.5%) of 8 cases with atypia on FNA and 6 (60.0%) of 10 cases with malignant FNA were confirmed as malignant. All 6 cases diagnosed as category 3 were confirmed as benign lesions, 3 cases (25.0%) of the 12 category 4 lesions were confirmed as malignancy (33.3%), and all 6 cases diagnosed as category 5 were confirmed as malignancy (100%). Conclusion: Fine needle aspiration cytology of the breast has a positive predictive value of 41.7%, which brings caution in the patient’s diagnosis and further treatment. If the imaging findings are not highly suggestive of malignancy, additional biopsy is recommended.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kwak, Jin Young(곽진영) ORCID logo https://orcid.org/0000-0002-6212-1495
Kim, Myung Hyun(김명현) ORCID logo https://orcid.org/0000-0002-5139-0155
Kim, Min Jung(김민정) ORCID logo https://orcid.org/0000-0003-4949-1237
Kim, Eun-Kyung(김은경) ORCID logo https://orcid.org/0000-0002-3368-5013
Kim, Ji Youn(김지연)
Moon, Hee Jung(문희정) ORCID logo https://orcid.org/0000-0002-5643-5885
Yoon, Jung Hyun(윤정현) ORCID logo https://orcid.org/0000-0002-2100-3513
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/105946
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