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诊断困境:纵隔肿瘤细针穿刺细胞学检查的诊断算法

Diagnostic dilemma: diagnostic algorithm in fine needle aspiration cytology of mediastinal tumors.

作者信息

Dey Pranab

机构信息

Department of Cytology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Indian J Pathol Microbiol. 2010 Jul-Sep;53(3):395-402. doi: 10.4103/0377-4929.68241.

DOI:10.4103/0377-4929.68241
PMID:20699490
Abstract

The mediastinum harbors a mixed bag of tumors, which may create significant diagnostic dilemmas. These tumors have widely variable therapeutic and prognostic implications. Correct pre-operative cytological diagnosis may obviate the need of surgical excision of many of these lesions. A stepwise algorithmic approach such as clinical history, radiological localization, salient cytomorphology and ancillary test helps in correct diagnosis of these tumors. This paper discusses the stepwise diagnostic algorithm for fine needle aspiration cytology diagnosis of mediastinal tumors.

摘要

纵隔内存在各种各样的肿瘤,这可能会造成重大的诊断难题。这些肿瘤在治疗和预后方面有很大差异。正确的术前细胞学诊断可能会使许多此类病变无需手术切除。采用逐步的算法方法,如临床病史、放射学定位、显著的细胞形态学和辅助检查,有助于正确诊断这些肿瘤。本文讨论了纵隔肿瘤细针穿刺抽吸细胞学诊断的逐步诊断算法。

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