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[针吸活检对腺病进行细胞学诊断的价值。1756例病例的细胞组织学对比]

[Value of the cytologic diagnosis of adenopathies by aspiration biopsy. Cytohistologic comparison of 1756 cases].

作者信息

Zajdela A, Ennuyer A, Bataini P, Poncet P

出版信息

Bull Cancer. 1976 Jul-Sep;63(3):327-40.

PMID:1000089
Abstract

The value of the cytologic diagnosis by aspiration needle biopsy is analysed in a series of 1756 adenopathies, verified by histological examination (1311 malignant nodes and 445 inflammatory or normal lymph nodes). The result is that a large number of lymph node tumours, either primary or secondary, are identified by the cytologic examination (from 77% to 91% of the cases according to the explored zone). Furthermore the virtually non existent percentage of false positive results (3% of the cases) proves the great accuracy of this method in the diagnosis of malignancy. In contrast, the diagnosis of benign nature must never be stated without biopsy (2% to 4% of the cases are erroneous by negative according to the explored zone). Indeed, even if benign cells are obtained, nothing allows to eliminate a malignant tumour or a limited inflammatory zone, not reached by the needle.

摘要

对1756例经组织学检查证实的腺病(1311例恶性淋巴结和445例炎性或正常淋巴结)进行细针穿刺活检细胞学诊断价值分析。结果显示,大量原发性或继发性淋巴结肿瘤可通过细胞学检查得以识别(根据探查区域,病例比例为77%至91%)。此外,假阳性结果的比例几乎不存在(3%的病例),证明了该方法在恶性肿瘤诊断中的高度准确性。相比之下,未经活检绝不能判定为良性(根据探查区域,2%至4%的病例阴性诊断错误)。实际上,即便获取了良性细胞,也无法排除恶性肿瘤或针未触及的局限性炎症区域。

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