Iwa N, Yutani C, Irie A, Katayama Y
Department of Clinical Laboratory, National Cardiovascular Center, Osaka, Japan.
Diagn Cytopathol. 1991;7(1):14-6. doi: 10.1002/dc.2840070106.
During the past 9 yr, 187,529 Sternheimer-Malbin-stained urinary sediments were examined as routine urinalysis specimens from patients attending the National Cardiovascular Center in Osaka, Japan. Abnormal cells were found in 20 patients who did not have clinical diagnoses of malignancy. Malignant cytological changes in 18 patients resulted in a rate of 1 case in 6,751 patients; the two remaining specimens with abnormal cells showed polyomavirus infection. This article describes our experience in the diagnosis of malignant cells of the urinary tract through the cooperation of the clinical and cytological laboratories. Since in Japan, the rate of death for bladder cancer is similar to 1 in 6,751, this method seems to be of great use in the diagnosis of urinary tract malignancies.
在过去9年中，作为日本大阪国立心血管中心患者常规尿液分析标本，共检查了187,529份经斯特恩海默-马尔宾染色的尿沉渣。在20例无恶性肿瘤临床诊断的患者中发现了异常细胞。18例患者出现恶性细胞学改变，发生率为6751例中有1例；其余两份有异常细胞的标本显示多瘤病毒感染。本文描述了我们通过临床和细胞学实验室合作诊断尿路恶性细胞的经验。由于在日本，膀胱癌的死亡率与6751分之一相似，这种方法在尿路恶性肿瘤的诊断中似乎非常有用。
