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在采用不同包埋方法时,经尿道切除的组织中漏诊前列腺癌的概率。

The probability of overlooking prostatic cancer in transurethrally resected material when different embedding practices are followed.

作者信息

Garborg I, Eide T J

出版信息

Acta Pathol Microbiol Immunol Scand A. 1985 Sep;93(5):205-8. doi: 10.1111/j.1699-0463.1985.tb03942.x.

DOI:10.1111/j.1699-0463.1985.tb03942.x
PMID:3901664
Abstract

When all transurethrally resected material of 53 subsequent patients was microscopically examined, primary adenocarcinoma of the prostate was found in 18 patients and benign disease in 35. Only 9 of the patients with histologically confirmed malignancy of the prostate were clinically diagnosed. The proportion of prostatic chips that contained malignant tissue ranged from 1-96%. A mathematical analysis evaluating the probability of including a carcinoma when different numbers of blocks were processes was performed. The analysis showed that when the patient has a clinically malignant diagnosis the probability of 100% is reached by the processing of one block. If the patient has a clinically benign diagnosis, however, the probability of 98% is first reached by the processing of 8 blocks, if such an amount of material is available.

摘要

对随后53例患者经尿道切除的所有组织进行显微镜检查,发现18例为前列腺原发性腺癌,35例为良性疾病。在组织学确诊为前列腺恶性肿瘤的患者中,只有9例得到临床诊断。含有恶性组织的前列腺组织碎片比例为1%-96%。对处理不同数量组织块时包含癌组织的概率进行了数学分析。分析表明,当患者临床诊断为恶性时,处理1个组织块达到100%的概率。然而,如果患者临床诊断为良性,在有足够材料的情况下,处理8个组织块时首次达到98%的概率。

相似文献

1
The probability of overlooking prostatic cancer in transurethrally resected material when different embedding practices are followed.在采用不同包埋方法时,经尿道切除的组织中漏诊前列腺癌的概率。
Acta Pathol Microbiol Immunol Scand A. 1985 Sep;93(5):205-8. doi: 10.1111/j.1699-0463.1985.tb03942.x.
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Diagnosis of adenocarcinoma in transurethral resectates of the prostate gland.前列腺经尿道切除标本中腺癌的诊断
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The diagnosis of carcinoma in transurethral resectates of of the prostate. A study of the probability of overlooking malignant tissue when only part of the material is embedded for histological examination.
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Prostatic adenocarcinoma with atrophic features: malignancy mimicking a benign process.具有萎缩特征的前列腺腺癌:酷似良性过程的恶性肿瘤。
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[Value of free PSA/total PSA ratio in therapeutic decisions in the case of a single positive biopsy of the prostate].
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Single small focus of prostate adenocarcinoma (< or = 1 mm and too small for grading) and clinical significant disease after radical prostatectomy.前列腺腺癌的单个小病灶(≤1毫米且太小无法分级)以及根治性前列腺切除术后的临床显著疾病。
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Transrectal sonography of benign and malignant prostatic lesions.前列腺良恶性病变的经直肠超声检查
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Immediate radical prostatectomy in patients with atypical small acinar proliferation. Over treatment?非典型小腺泡增生患者立即行根治性前列腺切除术。是否过度治疗?
J Urol. 2004 Sep;172(3):906-8; discussion 908-9. doi: 10.1097/01.ju.0000134622.54235.93.

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Is prostatic intraepithelial neoplasia in the transition/central zone a true precursor of cancer? A long-term retrospective study in Norway.前列腺移行/中央带的前列腺上皮内瘤变是癌症的真正前驱病变吗?挪威的一项长期回顾性研究。
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