开胸术后即刻胸腔灌洗细胞学检查作为肺癌患者的预后因素
Pleural lavage cytology immediately after thoracotomy as a prognostic factor for patients with lung cancer.
作者信息
Kondo H, Naruke T, Tsuchiya R, Goya T, Suemasu K, Yamagishi K, Kishi K, Noguchi M
机构信息
Department of Surgery, National Cancer Center Hospital, Tokyo.
出版信息
Jpn J Cancer Res. 1989 Mar;80(3):233-7. doi: 10.1111/j.1349-7006.1989.tb02298.x.
Pleural lavage cytology was examined in 230 lung cancer patients just after opening the chest. There were 16 cases (7.0%) of positive pleural lavage cytology, and the results of pleural lavage cytology were related to the presence of pleural involvement by cancer, microscopical pleural dissemination and lymphatic permeation of the cancer cells. If the cancer involves the pleura or lymphatics of the submesothelial layer, being covered with visceral mesothelium, positive cytology may still be obtained. Pleural lavage cytology at opening of the chest seems to be available as a premonitory indicator for exfoliation and dissemination into the pleural cavity or subpleural lymphatic extension of cancer cells, and it was suggested that positive pleural lavage cytology has an influence on postoperative survival.
对230例肺癌患者在开胸后立即进行了胸腔灌洗细胞学检查。胸腔灌洗细胞学检查结果为阳性的有16例（7.0%），胸腔灌洗细胞学检查结果与癌性胸膜受累、显微镜下胸膜播散以及癌细胞的淋巴管浸润有关。如果癌症累及被脏层间皮覆盖的间皮下层的胸膜或淋巴管，仍可能获得阳性细胞学结果。开胸时的胸腔灌洗细胞学检查似乎可作为癌细胞脱落并播散至胸腔或胸膜下淋巴管扩展的先兆指标，并且提示胸腔灌洗细胞学检查结果为阳性对术后生存有影响。
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