Vladimirova A V, Novik V I
Vopr Onkol. 2016;62(3):465-9.
Results are presented of preoperative and intraoperative cytological diagnosis of breast cancer metastases in regional lymph nodes in 84 patients. Of them in 42 there was studied material of fine-needle aspiration biopsy, in 42 - smears of sentinel lymph nodes. In all cases cytohistological comparisons were carried out. The effectiveness of cytological examination of material of fine-needle aspiration biopsy was 90.5%. Urgent cytology of smears of sentinel lymph nodes allowed revealing metastases in 5 of 10 patients. The use of immunohistochemical examination increases the likelihood of detection of micrometastases and isolated tumor cell clusters.
本文呈现了84例乳腺癌区域淋巴结转移的术前及术中细胞学诊断结果。其中42例采用细针穿刺活检材料进行研究，42例采用前哨淋巴结涂片。所有病例均进行了细胞组织学对比。细针穿刺活检材料的细胞学检查有效性为90.5%。前哨淋巴结涂片的急诊细胞学检查在10例患者中有5例发现了转移灶。免疫组织化学检查的应用增加了微转移灶和孤立肿瘤细胞簇的检出可能性。
