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比较利什曼-吉姆萨混合染色、吉姆萨染色和巴氏染色在口腔潜在恶性病变中的效果:对540份细胞学样本的研究

Comparing the Efficacy of Leishman-Giemsa Cocktail Stain, Giemsa Stain, and Papanicolaou Stain in Potentially Malignant Oral Lesions: A Study on 540 Cytological Samples.

作者信息

Sidhu Supreet K, Ramalingam Karthikeyan, Goyal Sandeep, Poonia Monika, Rajawat Gaurav S, Sharma Nitish

机构信息

Department of Oral Pathology and Microbiology, Surendera Dental College and Research Institute, Rajasthan University of Health Sciences, Sriganganagar, Rajasthan, India.

出版信息

J Cytol. 2018 Apr-Jun;35(2):105-109. doi: 10.4103/JOC.JOC_249_16.

DOI:10.4103/JOC.JOC_249_16
PMID:29643658
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5885597/
Abstract

BACKGROUND

This study was planned to compare and evaluate the staining efficacy of Leishman-Giemsa cocktail (LG), Papanicolaou, and Giemsa stain (G) in potentially malignant disorders and malignant lesions.

AIMS

To evaluate the quality of nuclear and cytoplasmic staining of LG with G, and rapid Papanicolaou stain (Pap) and to compare the total staining efficiency of LG against G and P.

MATERIALS AND METHODS

One hundred and eighty participants were studied under three groups - 60 as healthy controls, 60 with potentially malignant disorders, and 60 with malignant lesions; smears were taken thrice from the buccal mucosa. One smear was fixed with Bio-Fix spray and other two smears were allowed to air dry for 2-3 minutes. Then, the ethyl alcohol-fixed smear was stained with Pap and the two other air-dried smears were stained with G and LG stains. Analysis was done using Friedman test and Wilcoxon Signed Rank Test with SPSS Version 15.0.

RESULTS

In the normal group, staining of LG was highly significant ( < 0.001). Among potentially malignant lesions, LG was observed to be highly significant ( < 0.001) when compared with G and was not significant when compared with Pap ( = 0.186). In the malignant group, LG was highly significant ( < 0.001). LG was superior with the highest average staining score of (2.018) than Pap and G.

CONCLUSION

LG cocktail is a better stain with excellent cytoplasmic and nuclear staining intensity compared to Pap and G stains.

摘要

背景

本研究旨在比较和评估利什曼 - 吉姆萨混合染色剂(LG)、巴氏染色法和吉姆萨染色剂(G)在潜在恶性疾病和恶性病变中的染色效果。

目的

评估LG与G、快速巴氏染色法(Pap)的细胞核和细胞质染色质量,并比较LG相对于G和Pap的总染色效率。

材料与方法

180名参与者分为三组进行研究——60名作为健康对照,60名患有潜在恶性疾病,60名患有恶性病变;从颊黏膜采集三次涂片。一张涂片用Bio - Fix喷雾固定,另外两张涂片自然风干2 - 3分钟。然后,用巴氏染色法对乙醇固定的涂片进行染色,另外两张自然风干的涂片分别用G和LG染色剂染色。使用SPSS 15.0软件进行Friedman检验和Wilcoxon符号秩检验分析。

结果

在正常组中,LG染色具有高度显著性(<0.001)。在潜在恶性病变组中,与G相比LG具有高度显著性(<0.001),与Pap相比则无显著性差异(=0.186)。在恶性病变组中,LG具有高度显著性(<0.001)。LG表现更优,平均染色得分最高(2.018),高于Pap和G。

结论

与Pap和G染色剂相比,LG混合染色剂是一种具有出色细胞质和细胞核染色强度的更好的染色剂。

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本文引用的文献

1
Leishman Giemsa cocktail as a new, potentially useful cytological technique comparable to Papanicolaou staining for oral cancer diagnosis.利什曼吉姆萨混合染色法作为一种新的、可能有用的细胞学技术,可与巴氏染色法相媲美,用于口腔癌诊断。
J Cytol. 2013 Jan;30(1):18-22. doi: 10.4103/0970-9371.107507.
2
Early detection of oral cancer: PAP and AgNOR staining in brush biopsies.口腔癌的早期检测:刷检活检中的巴氏涂片和核仁组成区嗜银蛋白染色
J Oral Maxillofac Pathol. 2010 Jul;14(2):52-8. doi: 10.4103/0973-029X.72501.
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Cytology of the oral cavity: a re-evaluation.口腔细胞学:重新评估
Pathologica. 2009 Feb;101(1):6-8.
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Leishman-Giemsa cocktail: an effective Romanowsky stain for air-dried cytologic smears.利什曼-吉姆萨混合染液:一种用于空气干燥细胞学涂片的有效罗曼诺夫斯基染色剂。
Acta Cytol. 2006 Jul-Aug;50(4):403-6. doi: 10.1159/000325981.
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Exfoliative cytology in clinical oral pathology.临床口腔病理学中的脱落细胞学
Aust Dent J. 1996 Apr;41(2):71-4. doi: 10.1111/j.1834-7819.1996.tb05915.x.