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细胞数量不足:报告系统如何反映细胞学标本不足——从贝塞斯达报告系统到世界卫生组织报告系统的历程

Not Enough Cells: How Insufficient Cytological Specimens Are Mirrored by Reporting Systems - Journey from the Bethesda to the WHO Reporting Systems.

作者信息

Kholová Ivana

机构信息

Institute of Clinical Medicine, Pathology and Forensic Medicine, University of Eastern Finland, Kuopio, Finland.

Department of Clinical Pathology, Diagnostic Imaging Center, Kuopio University Hospital, Kuopio, Finland.

出版信息

Acta Cytol. 2025 Jun 17:1-12. doi: 10.1159/000546947.

Abstract

BACKGROUND

Pap classes have been replaced by organ-specific reporting systems in recent decades; however, part of the cytological specimens is insufficient. The present review summarizes how different organ-specific systems define the insufficient category: both quantitative and qualitative criteria are used. In addition, the sample volume may be evaluated in certain specimens.

SUMMARY

The reasons for an insufficient sample may vary and depend either on the lesion itself or the sampling procedure.

KEY MESSAGES

The management recommendations for insufficient specimens improve communication between cytopathologists and treating physicians.

摘要

背景

近几十年来,巴氏分类已被器官特异性报告系统所取代;然而,部分细胞学标本并不充分。本综述总结了不同的器官特异性系统如何定义不充分类别:定量和定性标准均有使用。此外,在某些标本中可能会评估样本量。

总结

样本不充分的原因可能各不相同,取决于病变本身或采样程序。

关键信息

针对不充分标本的管理建议改善了细胞病理学家与治疗医生之间的沟通。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/351a/12283066/f39b9c31109e/acy-2025-0000-0000-546947_F01.jpg

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