Irwin R S, Saunders R L, Isaac P C, Marcus J B, Corrao W M
Arch Pathol Lab Med. 1978 Feb;102(2):76-8.
Cells resembling Sternberg-Reed cells were observed in a pleural effusion that was caused by pulmonary embolus with infarction. Although Hodgkin's disease was suggested on the basis of abnormal pleural fluid cytological preparations, the subsequent evaluation and clinical course did not support that diagnosis. We conclude that first, the cytological diagnosis of Hodgkin's disease should only be made when Sternberg-Reed-like cells are seen in association with a compatible clinical and cytological picture, and second, the cytological diagnosis of Hodgkin's disease or other malignancy should be made with caution in cases in which pulmonary infarction is present.
在一例由肺栓塞伴梗死引起的胸腔积液中观察到了类似司-里(Sternberg-Reed)细胞的细胞。尽管根据异常的胸腔积液细胞学检查结果提示了霍奇金病,但后续的评估和临床病程并不支持该诊断。我们得出以下结论:第一,仅当在符合临床和细胞学表现的情况下见到类似司-里细胞时,才可作出霍奇金病的细胞学诊断;第二,在存在肺梗死的病例中,对霍奇金病或其他恶性肿瘤进行细胞学诊断时应谨慎。