Cornillot M, Granier A M, Houcke M
Sem Hop. 1979;55(7-8):389-98.
Because of its important and its soft consistency, the thyroid is not always convenient for punction. Many smears cannot be classified, others are disappointing. The analysis of 2,300 punctions of thyroid lesions, allowed the authors to realise 900 comparisons between histopathological and cytological results. Among 300 histological malignant lesions, 89 unknown cancers were found, 40 of which gave haemorragic smears. The real false diagnosis were especially linked to vesicular and papillary carcinomas. On the other hand, undifferentiated carcinomas and lymphomas usually led to a correct interpretation. A correct diagnosis was made in 70% of all smears and in 81% of interpretable smears. The best results are found in benign lesions. The interpretation is correct in 94% of 600 punctions. A false diagnosis of malignancy is made in 6.1% of cases. So, this method fails to recognize an important number of cancers. It is not sufficient to assert the diagnosis and must be followed by an histopathological per-operatoire study. On the other hand a cytological diagnosis of cancer is reliable as long as the cytologist is not impressed by some cellular changes which are not so significant, as far as thyroid lesions are concerned, as in other fields of cytology.
由于甲状腺质地柔软且位置重要，对其进行穿刺并不总是很方便。许多涂片无法分类，其他涂片则不尽人意。对2300例甲状腺病变穿刺样本的分析，使作者能够对组织病理学和细胞学结果进行900次对比。在300例组织学恶性病变中，发现了89例隐匿性癌症，其中40例涂片出现出血。真正的误诊尤其与滤泡状癌和乳头状癌有关。另一方面，未分化癌和淋巴瘤通常能得到正确诊断。所有涂片的正确诊断率为70%，可解释涂片的正确诊断率为81%。良性病变的诊断结果最佳。600例穿刺样本中有94%的诊断正确，6.
