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[淋巴肉瘤的细胞学诊断及细胞学分类]

[Cytological diagnosis and cytological classification of lymphosarcomas].

作者信息

Lazarev I M

出版信息

Arkh Patol. 1986;48(4):26-31.

PMID:3755035
Abstract

The cell composition of tumour was studied in punch biopsies from 123 patients with lymphosarcoma; staining by Leishman method was used. General and particular cytologic criteria of tumour were determined. Cytologic verification of lymphosarcoma types and variants was performed according to WHO classification (1976) and was compared to the histological diagnoses. The following cell types and variants of tumour were distinguished as a result of identification of cytograms and standardization of cytologic diagnoses based on particular properties of cells: 1) lymphoplasmocytic lymphosarcoma: a) polymorphocellular, b) plasmacytoid; 2) prolymphocytic lymphosarcoma: a) from cells with roundish nuclei, b) from cells with split nuclei; 3) lymphoblastic lymphosarcoma: a) microlymphoblastic, b) macrolymphoblastic, c) from cells with tortuous nuclei; 4) immunoblastic lymphosarcoma; 5) lymphosarcoma not otherwise classifiable cytologically.

摘要

对123例淋巴肉瘤患者的打孔活检组织进行肿瘤细胞组成研究;采用利什曼染色法。确定了肿瘤的一般和特殊细胞学标准。根据世界卫生组织(1976年)分类对淋巴肉瘤的类型和变异进行细胞学验证,并与组织学诊断结果进行比较。通过识别细胞图和基于细胞特殊性质的细胞学诊断标准化,区分出以下肿瘤细胞类型和变异:1)淋巴浆细胞性淋巴肉瘤:a)多细胞型,b)浆细胞样型;2)原淋巴细胞性淋巴肉瘤:a)来源于圆形核细胞,b)来源于分叶核细胞;3)淋巴母细胞性淋巴肉瘤:a)微淋巴母细胞型,b)大淋巴母细胞型,c)来源于核扭曲的细胞;4)免疫母细胞性淋巴肉瘤;5)细胞学上无法分类的淋巴肉瘤。

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