Liu S F
Cancer Hospital, Chinese Academy of Medical Sciences, Beijing.
Zhonghua Zhong Liu Za Zhi. 1989 Jul;11(4):269-71.
Mediastinal lesions examined by fine needle biopsy cytology in 66 cases are presented. The properties of the lesions were confirmed by cytology in 50 cases. The diagnosis of 40 cases was compared with histopathology. Conformation rate of the diagnosis was 80% (32 out of 40 cases). The diagnosis was correct in 84.2%. Clinical data, such as roentgenologic, physical, hematologic examinations, symptoms and age of the patients may provide important clues for the use of fine needle biopsy cytology in the diagnosis of mediastinal lesions. The cytological characters of thymoma and benign teratoma and differential diagnosis for non-Hodgkin's lymphoma and metastatic small cell carcinoma were discussed. Limitation of fine needle biopsy for the diagnosis of mediastinal lesions wis emphasized.
本文报告了66例经细针穿刺活检细胞学检查的纵隔病变。50例病变的性质经细胞学确诊。将其中40例的诊断与组织病理学结果进行了比较。诊断符合率为80%(40例中的32例)。诊断正确的占84.2%。临床资料,如放射学、体格、血液学检查、症状及患者年龄等,可为细针穿刺活检细胞学用于纵隔病变诊断提供重要线索。文中讨论了胸腺瘤、良性畸胎瘤的细胞学特征以及非霍奇金淋巴瘤和转移性小细胞癌的鉴别诊断。强调了细针穿刺活检在纵隔病变诊断中的局限性。