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[子宫内膜诊断中的薄层细胞学]

[Thin-layer cytology in endometrial diagnosis].

作者信息

Buccoliero A M, Caldarella A, Noci I, Borri P, Giachi M, Borrani E, Taddei G L

机构信息

Dipartimento di Patologia Umana e Oncologia, Università di Firenze, viale G.B. Morgagni 85, 50134 Firenze.

出版信息

Pathologica. 2003 Aug;95(4):179-84.

Abstract

Our purpose was to test the liquid-based thin layer method on the endometrial cytology. One hundred sixty two consecutive patients before the hysterectomy (55 women because of various causes; 107 asymptomatic postmenopausal women because of prolapsed uterus) had the endometrial cytology (all women) and the biopsy (107 postmenopausal women prolapsed uterus affected). Cytohistologic concordance was 98%: all endometrial neoplasms and atypical hyperplasia (10 cases) and 15 of the 18 (83%) simple hyperplasias were diagnosed by thin layer endometrial cytology. In asymptomatic postmenopausal women cytology gave sufficient material for the diagnosis significantively more often than endometrial biopsy (respectively 82% and 24%; p = 0.000).

摘要

我们的目的是在子宫内膜细胞学检查中测试液基薄层法。162例子宫切除术前行子宫内膜细胞学检查的连续患者(55例因各种原因就诊的女性;107例因子宫脱垂的无症状绝经后女性)均接受了子宫内膜细胞学检查(所有女性)和活检(107例受子宫脱垂影响的绝经后女性)。细胞组织学一致性为98%:所有子宫内膜肿瘤和非典型增生(10例)以及18例单纯性增生中的15例(83%)通过薄层子宫内膜细胞学检查得以诊断。在无症状绝经后女性中,细胞学检查比子宫内膜活检更常能提供足够用于诊断的材料(分别为82%和24%;p = 0.000)。

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