Simecek C
Arch Geschwulstforsch. 1977;47(3):197-203.
In 2.9% of 1762 patients with pleura exudate, the underlying disease was a lymphoreticular sarcoma. The experienced cytologist has no difficulties to differentiate typical patterns of plasmocytoma, reticulumcell sarcoma or lymphogranulomatosis. But there may be borderline forms which can only be evaluated by critical examination. This holds true especially for differentiated types of lymphosarcoma which resemble the pattern of lymphocytic leukemia or observed through low magnification look like lymphocytic exudate. Therefore the use of oil immersion is necessary for evaluation of the smear. Fluorescence microscopy offers some advantages in special problems.
在1762例胸膜渗出液患者中,2.9%的潜在疾病为淋巴网状肉瘤。经验丰富的细胞学家不难区分浆细胞瘤、网状细胞肉瘤或淋巴肉芽肿的典型模式。但可能存在一些临界形态,只能通过严格检查来评估。这在分化型淋巴瘤中尤为如此,其类似于淋巴细胞白血病的模式,或在低倍镜下观察时类似淋巴细胞渗出液。因此,评估涂片时必须使用油镜。荧光显微镜在特殊问题上具有一些优势。