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细针穿刺细胞学检查在成釉细胞瘤术前初步诊断中的作用

Role of fine needle aspiration cytology in the preoperative presumptive diagnosis of ameloblastoma.

作者信息

Uçok Ozlem, Doğan Necdet, Uçok Cahit, Günhan Omer

机构信息

Department of Oral Diagnosis and Radiology, Gülhane Military Medical Academy, Ankara, Turkey.

出版信息

Acta Cytol. 2005 Jan-Feb;49(1):38-42. doi: 10.1159/000326093.

Abstract

OBJECTIVE

To determine the role of fine needle aspiration cytology (FNAC) on the preoperative presumptive diagnosis of ameloblastoma.

STUDY DESIGN

Sixty-three patients, diagnosed preoperatively and postoperatively with ameloblastoma, were evaluated between 1990 and 2003. The patients were classified according to whether they were diagnosed with ameloblastoma preoperatively or postoperatively, on histologic examination.

RESULTS

The accuracy rate for ameloblastoma was 0.95% for all biopsy methods, while the incisional biopsy rate was 75.00%. Concerning clinical diagnosis, ameloblastoma was mistaken mostly (56.41%) for odontogenic cysts (22 of 39).

CONCLUSION

FNAC should be utilized more commonly on intraosseous and soft tissue lesions in the oral and maxillofacial regions, to obtain sufficient material. It is convenient, inexpensive and noninvasive as compared with other biopsy methods.

摘要

目的

确定细针穿刺细胞学检查(FNAC)在成釉细胞瘤术前推测性诊断中的作用。

研究设计

对1990年至2003年间术前和术后诊断为成釉细胞瘤的63例患者进行评估。根据组织学检查术前或术后是否诊断为成釉细胞瘤对患者进行分类。

结果

所有活检方法对成釉细胞瘤的准确率为0.95%,切开活检率为75.00%。关于临床诊断,成釉细胞瘤最常(56.41%)被误诊为牙源性囊肿(39例中的22例)。

结论

FNAC应更普遍地用于口腔颌面部骨内和软组织病变,以获取足够的材料。与其他活检方法相比,它方便、廉价且无创。

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