Sautereau D, Vire O, Cazes P Y, Cazals J B, Catanzano G, Claude R, Pillegand B
Service de Gastroentérologie, CHU Dupuytren, Limoges.
Ann Gastroenterol Hepatol (Paris). 1988 Jun-Sep;24(4):205-8.
This retrospective study considers the diagnostic reliability of 97 cyto-biopsies performed with a fine needle and guided by ultrasonography in 92 patients with one or several suspicious liver lesions. The results of the cyto-biopsy were compared with the final diagnosis obtained by histological examination or by the evolution. In 65 confirmed malignant tumors, fine needle biopsy was concordant in 54 cases. The sensitivity of this method in the diagnosis of malignant liver lesions was 83% with a specificity of 93%. In 54 malignant cytologies, the differentiation between primary or secondary lesions was possible in 31 cases (57%). In 32 confirmed benign lesions, fine needle biopsy was concordant in 30 cases. This study confirms the advantage of cyto-biopsy guided by ultrasonography in the positive and etiological diagnosis of malignant liver tumors.
这项回顾性研究探讨了在92例有一个或多个可疑肝脏病变的患者中，在超声引导下使用细针进行的97次细胞活检的诊断可靠性。将细胞活检结果与通过组织学检查或病情演变获得的最终诊断结果进行比较。在65例确诊的恶性肿瘤中，细针活检在54例中结果一致。该方法诊断恶性肝脏病变的敏感性为83%，特异性为93%。在54例恶性细胞学检查中，31例（57%）能够区分原发性或继发性病变。在32例确诊的良性病变中，细针活检在30例中结果一致。本研究证实了超声引导下细胞活检在恶性肝脏肿瘤的阳性诊断和病因诊断中的优势。
