Giá trị của phương pháp xét nghiệm tế bào học vú theo phân loại Yokohama tại bệnh viện Ung Bướu Hà Nội=The value of breast cytology according to the Yokohama classification at Hanoi Oncology hospital

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Hoàng Hảo Dương, Thị Hải Nguyễn, Thị Ngọc Nguyễn, Thị Tâm Nguyễn, Minh Anh Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.302-307

Bộ sưu tập: Metadata

ID: 478167

Thêm vào giỏ

Phân loại tế bào học (TBH) vú Yokohama được học viện TBH Quốc tế (IAC) phát triển năm 2016 với sự đồng thuận của các nhà nghiên cứu, mô tả rõ ràng, định nghĩa cụ thể, dự báo nguy cơ ác tính và gợi ý hướng quản lý tiếp theo cho người bệnh. Hệ thống phân loại chẩn đoán tế bào học (TBH) được áp dụng trong chẩn đoán tế bào học tuyến vú Mục tiêu: Đánh giá giá trị của phương pháp xét nghiệm TBH vú theo phân loại Yokohama tại Bệnh viện Ung Bướu Hà Nội. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang tiến hành trên người bệnh làm xét nghiệm TBH chọc hút kim nhỏ tuyến vú tại Bệnh viện Ung Bướu Hà Nội từ tháng 04 - 09/2023. Kết quả nghiên cứu: Nghiên cứu ghi nhận 1929 người bệnh làm xét nghiệm TBH chọc hút kim nhỏ tuyến vú, trong đó có 652 người bệnh được sinh thiết/phẫu thuật làm mô bệnh học. Nguy cơ ác tính của các nhóm chẩn đoán II, III, IV, V theo phân loại Yokohama lần lượt là 1,9%
22,9%
93,1% và 100%. Xét nghiệm tế bào học có độ nhạy, độ đặc hiệu, độ chính xác, giá trị dự đoán âm tính, giá trị dự đoán dương tính cao tương ứng dao động 48,6% – 92,4%
86%- 100%
87,2%-95%
89,8%- 98,1%
92,4 -100%. Kết luận: Xét nghiệm tế bào học tuyến vú theo phân loại Yokohama có vai trò quan trọng trong dự báo nguy cơ ác tính và gợi ý hướng quản lý tiếp theo. Nguy cơ ác tính tăng dần theo các phân nhóm, nhóm IV và nhóm V có nguy cơ ác tính cao.The Yokohama Breast Cytology Classification was developed by the International Academy of Cytology (IAC) in 2016 with the consensus of researchers. It provides clear description, articulate definitions, is able to predict the risk of malignancy and to suggest the further disease management. This cytological diagnostic classification system is applied in breast cytology diagnosis. Objective: To evaluate the value of the breast cytology according to the Yokohama classification at Hanoi Oncology Hospital. Subjects and methods: A descriptive crosssectional study was conducted on patients who underwent breast fine-needle aspiration cytology (FNAC) at Hanoi Oncology Hospital from April to September 2023. Results: The study recorded 1,929 patients who underwent breast FNAC, of which 652 patients performed biopsy/surgery for histopathology. The malignancy risks of diagnostic groups II, III, IV, and V according to the Yokohama classification were 1.9%, 22.9%, 93.1%, and 100%, respectively. The cytology test showed high sensitivity, specificity, accuracy, negative predictive value, and positive predictive value, ranging from 48.6% to 92.4%, from 86% to 100%,from 87.2% to 95%, from 89.8% to 98.1%, and from 92.4% to 100%, respectively. Conclusion: The breast cytology according to the Yokohama classification plays an important role in predicting the risk of malignancy and suggesting further management. The risk of malignancy increases progressively across the subgroups, with groups IV and V having a high risk of malignancy.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR