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细针吸取细胞学检查在临床病理诊断中的应用

Discussion on the value of fine needle aspiration cytology in the clinical pathological diagnosis

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【作者】 王红梅孟庆更余小蒙

【Author】 WANG Hong-mei,MENG Qing-geng,YU Xiao-meng (Department of Pathology,the First Hospital of Huairou District,Beijing 101400)

【机构】 北京市怀柔区第一医院病理科首都医科大学附属北京友谊医院病理科

【摘要】 目的探讨细针吸取细胞学检查在体表以及经体表可触及肿物的诊断价值。方法对158例行细针吸取细胞学检查患者的结果与组织学诊断结果进行对照。结果 68例恶性肿瘤的敏感性为(63/68)92.6%,90例良性病变的特异性为(85/90)94.4%,148例获得正确诊断,10例病变虽未明确诊断,但均未因诊断意见不一致造成过度治疗或治疗不当。总的正确率为93.7%,无一例假阳性病例。结论细针吸取细胞学检查对于体表或经体表可触及肿物的临床病理诊断具有重要作用,是具有较高应用价值的病理检查诊断手段。

【Abstract】 Objective To investigate the value of fine needle aspiration cytology (FNAC) in the clinical pathological diagnosis of superficial masses or the palpable masses.Methods The results of the fine needle aspiration cytology of 158 patients and corresponding histology was compared.Results The sensitivity of 68 cases with malignant tumors was 92.6%(63/68),the specificity of 90 cases with benign changes was 94.4%(85/90).148 cases were correctly diagnoseds.Ten cases had no specific diagnosis,but inappropriately treated due to in-consensus of the diagnosis.The overall diagnostic accuracy was 93.7%,and no false-positive cases were found in this study.Conclusion FNAC is very important for the clinical pathological diagnosis of superficial masses or palpable masses,and is a method of diagnosis with great clinical value.

  • 【文献出处】 北京医学 ,Beijing Medical Journal , 编辑部邮箱 ,2011年04期
  • 【分类号】R446.8
  • 【被引频次】5
  • 【下载频次】72
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