Malberger E, Reichman E
Dept. of Cytopathology, Rambam Medical Center, Haifa.
Harefuah. 1989 Sep;117(5-6):128-30.
In 170 of 244 fine needle aspiration biopsies of suspicious supraclavicular lymph nodes performed over the course of a decade, the medical records were available for study. In 67 cases aspirations were by the staff of the Cytological Department, while 103 were by the ward and clinic physicians. Among the former about 6% were nonrepresentative, and among the latter 32%. In all cases in which a cytological diagnosis of malignancy was made, it corresponded either to the available histological diagnosis or to the final diagnosis. In all cases with a benign cytological diagnosis, either the available histological diagnosis or the long term follow-up was in accord. The malignant lymph nodes aspirated drained regional as well as distant tumors. 82% (23/28) of the malignant nodes draining distant tumors were on the left side.
在十年间进行的244例可疑锁骨上淋巴结细针穿刺活检中，有170例的病历可供研究。其中67例穿刺由细胞学部门工作人员操作，103例由病房和门诊医生操作。前者中约6%的样本不具有代表性，后者中这一比例为32%。在所有做出恶性细胞学诊断的病例中，该诊断与现有的组织学诊断或最终诊断相符。在所有做出良性细胞学诊断的病例中，现有的组织学诊断或长期随访结果与之相符。穿刺出的恶性淋巴结引流区域及远处肿瘤。引流远处肿瘤的恶性淋巴结中，82%（23/28）位于左侧。
