Howell L P, Russell L A, Howard P H, Teplitz R L
Department of Pathology, University of California, Davis, Sacramento 95817.
West J Med. 1991 Jul;155(1):33-8.
Fine needle aspiration biopsy (FNAB) is an underused diagnostic procedure in children, particularly in the evaluation of superficial masses. A total of 54 FNABs of superficial masses were performed in children aged 1 month to 15 years. Adequate material for diagnosis was obtained in 50 attempts. The cytologic diagnosis increased clinical understanding and provided a guide for treatment in 46 of the 50 cases. The cytologic diagnosis was confirmed in 15 of 19 patients who underwent an operation. Surgical intervention was obviated in 31 patients. There was one false-positive diagnosis of cancer. We describe the role of FNAB in children and its technique, accuracy, and diagnostic problems.
细针穿刺活检（FNAB）在儿童中是一种未得到充分利用的诊断程序，尤其是在浅表肿块的评估中。对1个月至15岁的儿童共进行了54次浅表肿块的细针穿刺活检。50次穿刺成功获取了足够用于诊断的材料。在这50例病例中，细胞学诊断增进了临床认识并为46例的治疗提供了指导。19例接受手术的患者中有15例的细胞学诊断得到了证实。31例患者避免了手术干预。有1例假阳性癌症诊断。我们描述了细针穿刺活检在儿童中的作用及其技术、准确性和诊断问题。
