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软组织细胞病理学中的陷阱。

Pitfalls in soft tissue cytopathology.

作者信息

Rekhi Bharat, Qian Xiaohua, Domanski Henryk A, Klijanienko Jerzy, Field Andrew

机构信息

Department of Pathology, Bone and Soft Tissues, Disease Management Group (DMG) Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.

Department of Pathology, Cytopathology Service and Bone and Soft Tissue Service, Stanford University School of Medicine, Stanford, California, USA.

出版信息

Cytopathology. 2024 Jan;35(1):30-47. doi: 10.1111/cyt.13282. Epub 2023 Aug 7.

Abstract

Fine needle aspiration biopsy (FNAB) is a diagnostic modality for the evaluation of suspicious soft tissue masses. Despite its reasonable sensitivity, specificity and positive predictive value in differentiating benign from malignant neoplasms, the exact subtyping of the primary soft tissue tumours can be challenging. Certain tumours constitute "pitfalls" and add to the diagnostic challenge. This review provides a detailed account of the diagnostic challenges in soft tissue cytopathology, including pitfalls and, more importantly, the ways to overcome these challenges by integrating clinical details, key cytomorphological features and judicious application of ancillary techniques.

摘要

细针穿刺活检(FNAB)是一种用于评估可疑软组织肿块的诊断方法。尽管它在区分良性与恶性肿瘤方面具有合理的敏感性、特异性和阳性预测价值,但原发性软组织肿瘤的确切亚型诊断可能具有挑战性。某些肿瘤构成“陷阱”,增加了诊断难度。本综述详细阐述了软组织细胞病理学中的诊断挑战,包括陷阱,更重要的是,通过整合临床细节、关键细胞形态学特征和明智应用辅助技术来克服这些挑战的方法。

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