Lang W, Atay Z, Banse A
Langenbecks Arch Chir. 1985;366:55-9. doi: 10.1007/BF01836606.
The fine needle aspiration cytology of the thyroid represents a valuable aid for clinical decisions besides scintigraphy and sonography if representative cellular material is available. False diagnoses of malignancy may be totally avoided whereas a relatively high percentage of malignant tumours escapes the cytological diagnosis mostly as a consequence of insufficient puncture. For the intraoperative decision concerning the extent of resection, imprint cytology shows better results than frozen sections at least for follicular tumours.
如果能获取具有代表性的细胞材料,甲状腺细针穿刺细胞学检查除了闪烁扫描和超声检查外,对临床决策也是一项有价值的辅助手段。可以完全避免恶性肿瘤的误诊,而相当比例的恶性肿瘤大多因穿刺不足而未能通过细胞学检查确诊。对于术中关于切除范围的决策,至少对于滤泡性肿瘤,印片细胞学检查的结果优于冰冻切片。