Leiman Gladwyn
Fletcher Allen Health Care, Pathology Department, University of Vermont, Burlington, VT 05401, USA.
J Clin Pathol. 2007 Jan;60(1):43-9. doi: 10.1136/jcp.2005.034959. Epub 2006 May 12.
Pancreatic fine needle aspiration cytopathology has earned a reputation as a rapid, safe, accurate and cost-beneficial modality of investigation of pancreatic mass lesion. Optimal results can be expected only if these procedures are undertaken regularly in gastroenterology departments processing large numbers of patients; occasional aspirators cannot exploit the technique to full potential. Professional teams following a dedicated approach to patient selection and management develop requisite expertise over time. Cytodiagnosis rests as much on morphological examination as on the milieu in which is it practised, and as much on sample quality as on cellular criteria. This article focuses attention on specimen handling, with particular reference to rapid on-site evaluation. The significance of particular cytodiagnoses in patient care is evaluated, and tumour types that may be encountered are enumerated and illustrated.
胰腺细针穿刺细胞病理学已成为一种快速、安全、准确且性价比高的胰腺肿块病变检查方式。只有在消化内科定期处理大量患者的情况下进行这些操作，才能获得最佳结果；偶尔进行穿刺的人员无法充分发挥该技术的潜力。随着时间的推移，采用专门方法进行患者选择和管理的专业团队会发展出必要的专业技能。细胞诊断既依赖于形态学检查，也依赖于其实施的环境，既依赖于样本质量，也依赖于细胞标准。本文重点关注标本处理，特别是快速现场评估。评估了特定细胞诊断在患者护理中的意义，并列举和说明了可能遇到的肿瘤类型。
