[A cytological study as a part of integrated examinations of patients with the mammary gland pathologies in the ambulatory and clinical settings]. / Tsitologicheskoe issledovanie v sisteme integrirovannogo obsledovaniia patsientok s zabolevaniiami molochnoi zhelezy v ambulatorno-poliklinicheskikh usloviiakh.

An integrated system of examination of female patients was used to detect the mammary-gland pathologies at the Central Clinic of Russia's Federal Security Service in the ambulatory and clinical settings. Fine-needle aspiration biopsy monitored by ultrasound as well as target aspiration biopsy based on the "Mammodiagnost-400" X-ray unit with the "Cytoguide" stereoscopic attachment (pistol-needle system) were applied to obtain the cell samples in nonpalpable neoplasms of the mammary gland; fine-needle aspiration biopsy without ultrasound monitoring was used in palpable neoplasms. Diagnosis was morphologically verified in all cases. Pathologies of the mammary gland prevailed, within the examinees, at an age of 44 to 53. The number of malignant neoplasms made 7.6% of the total number of examinees. The results of intraoperative cytological examinations correlated, in all cases, with histological conclusions. The final diagnosis was made on the basis of clinical and X-ray examinations and of cytological conclusions. The diagnosis was histologically verified in 40% of cases. According to the data analysis, histological examinations are necessary and should be in the list of diagnosis-verification measures within the system of integrated examinations of female patients with pathologies of the mammary gland.