Briffod M, Cabaret V, Trassard M, Labbé S
Service d'Anatomie et de Cytologie Pathologiques, Centre René Huguenin de Lutte contre le Cancer, Saint-Cloud, France.
Clin Exp Pathol. 1999;47(6):279-85.
Evaluation of intraoperative cytology and frozen sections for breast lesions is essential to single-stage and cost effective management. The aim of this study is to evaluate the diagnostic accuracy and the potential role of intraoperative cytology. The results of the study undertaken at the René Huguenin Center and the data of the literature suggest that intraoperative cytology may be helpful in some cases, especially as an adjunct to frozen sections. If frozen sections could be avoided any time clear features of benignity or malignancy are offered by both clinical data and macroscopic and cytologic examination, this approach does have limitations. Intraoperative cytology should not be used as an alternative to frozen sections except, in a few cases, when technical conditions required for them are not available or suitable. It can also constitute a good way for continuous education of our cytotechnologists.
评估术中细胞学检查和乳腺病变冰冻切片对于单阶段和具有成本效益的管理至关重要。本研究的目的是评估术中细胞学检查的诊断准确性及其潜在作用。在勒内·于格南中心进行的研究结果以及文献数据表明,术中细胞学检查在某些情况下可能会有所帮助,特别是作为冰冻切片的辅助手段。如果临床资料、大体检查和细胞学检查均呈现出明确的良性或恶性特征,从而能够随时避免进行冰冻切片,那么这种方法确实存在局限性。除了在少数无法获得或不适合进行冰冻切片所需技术条件的情况下,术中细胞学检查不应替代冰冻切片。它也可以成为对我们的细胞技术人员进行持续教育的良好方式。