胃食管恶性肿瘤的内镜下细针穿刺活检

Endoscopic fine needle aspiration biopsy of gastroesophageal malignancies.

作者信息

Kochhar R, Rajwanshi A, Malik A K, Gupta S K, Mehta S K

机构信息

Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Gastrointest Endosc. 1988 Jul-Aug;34(4):321-3. doi: 10.1016/s0016-5107(88)71365-6.

DOI:10.1016/s0016-5107(88)71365-6

PMID:3410243

Abstract

We have evaluated the results of endoscopic fine needle aspiration cytology in 50 consecutive cases of suspected malignancy of the esophagus and stomach and compared them with those of forceps biopsy and brush cytology. The diagnostic yield with forceps biopsy, fine needle aspiration, and brush cytology in 46 cases of carcinoma was 88.8%, 89.1%, and 80.4%, respectively. A combination of forceps biopsy and brush cytology gave an accuracy of 93.5% while the addition of fine needle aspiration increased the yield to 100%. This was due to a very high positive yield of fine needle aspiration in infiltrative tumors.

摘要

我们评估了连续50例疑似食管和胃癌的内镜细针穿刺细胞学检查结果，并将其与钳取活检和刷检细胞学检查结果进行了比较。在46例癌病例中，钳取活检、细针穿刺和刷检细胞学检查的诊断阳性率分别为88.8%、89.1%和80.4%。钳取活检和刷检细胞学检查联合应用的准确率为93.5%，而加上细针穿刺后阳性率提高到了100%。这是由于细针穿刺在浸润性肿瘤中的阳性率非常高。