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犬猫胃肠道肿瘤细胞学检查的诊断价值:83例病例(2001 - 2004年)

Diagnostic value of cytologic examination of gastrointestinal tract tumors in dogs and cats: 83 cases (2001-2004).

作者信息

Bonfanti Ugo, Bertazzolo Walter, Bottero Enrico, De Lorenzi Davide, Marconato Laura, Masserdotti Carlo, Zatelli Andrea, Zini Eric

机构信息

Clinica Veterinaria Gran Sasso, via Donatello 26, 20131, Milano, Italy.

出版信息

J Am Vet Med Assoc. 2006 Oct 1;229(7):1130-3. doi: 10.2460/javma.229.7.1130.

Abstract

OBJECTIVE

To determine results of cytologic examination of fine-needle aspirates and impression smears of gastrointestinal tract tumors in dogs and cats.

DESIGN

Retrospective case series.

ANIMALS

38 dogs and 44 cats with histologically confirmed gastrointestinal tract tumors.

PROCEDURES

Results of cytologic examination of fine-needle aspirates (n = 67) or impression smears (31) were compared with the histologic diagnosis, and extent of agreement was classified as complete, partial, none, or undetermined.

RESULTS

For 48 of the 67 (72%) fine-needle aspirates, there was complete or partial agreement between the cytologic and histologic diagnoses. For 12 (18%) aspirates, the extent of agreement could not be determined because the cytologic specimen was considered unsatisfactory. For 29 of the 31 (94%) impression smears, there was complete agreement between the cytologic and histologic diagnoses, and for 2 (6%), there was partial agreement. None of the impression smears were considered unsatisfactory. Proportion of samples with complete agreement and proportion of samples with complete or partial agreement were significantly higher for impression smears than for fine-needle aspirates.

CONCLUSIONS AND CLINICAL RELEVANCE

Results suggest that there was moderate agreement between results of cytologic examination of fine-needle aspirates from dogs and cats with gastrointestinal tract neoplasia and the definitive histologic diagnosis. The agreement between results of cytologic examination of impression smears and the histologic diagnosis appeared to be higher.

摘要

目的

确定犬猫胃肠道肿瘤细针穿刺抽吸物及印片的细胞学检查结果。

设计

回顾性病例系列研究。

动物

38只犬和44只猫,均有经组织学确诊的胃肠道肿瘤。

方法

将细针穿刺抽吸物(n = 67)或印片(31)的细胞学检查结果与组织学诊断结果进行比较,并将符合程度分为完全符合、部分符合、不符合或无法确定。

结果

67份细针穿刺抽吸物中有48份(72%)的细胞学诊断与组织学诊断完全或部分相符。12份(18%)抽吸物因细胞学标本被认为不满意而无法确定符合程度。31份印片中29份(94%)的细胞学诊断与组织学诊断完全相符,2份(6%)部分相符。所有印片均未被认为不满意。印片完全相符的样本比例及完全或部分相符的样本比例均显著高于细针穿刺抽吸物。

结论及临床意义

结果表明,犬猫胃肠道肿瘤细针穿刺抽吸物的细胞学检查结果与最终组织学诊断之间存在中度相符性。印片的细胞学检查结果与组织学诊断之间的相符性似乎更高。

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