Smol'ianinova N V, Bogin Iu N, Bondarenko V O, Manevich V L, Charnyĭ A M
Khirurgiia (Mosk). 1989 May(5):94-7.
The results of fine-needle aspiration puncture (AP) and cytologic examination in the preoperative period in 4 patients with various lesions of the adrenals are discussed. AP was conducted under local anesthesia and control by ultrasonic examination; no complications occurred. Analysis of the cytologic findings allowed preoperative morphological verification of the process, as a result of which the initial clinical diagnosis was changed in 2 of the 4 cases. With an exactly established preoperative cytologic diagnosis a rational therapeutic tactics can be chosen, and the necessity of using complicated examination methods, diagnostic laparotomy among others, obviated.
讨论了4例肾上腺不同病变患者术前细针穿刺抽吸（AP）及细胞学检查的结果。AP在局部麻醉下进行，并通过超声检查控制；未发生并发症。对细胞学检查结果的分析使得术前能够对病变进行形态学验证，结果4例中有2例改变了最初的临床诊断。通过准确确立术前细胞学诊断，可以选择合理的治疗策略，避免了使用复杂检查方法（包括诊断性剖腹术等）的必要性。
