Ahlbom G, Winslov J
Scand J Respir Dis. 1977 Aug;58(4):227-30.
The objective of the present survey was to show whether outpatient sputum examination for malignant cells gives sufficient material suitable for diagnostic purposes. The results of 1031 sputum cytological examinations carried out in 767 patients over a 30-month period are presented. Three hundred and two (29.3%) specimens were unsuitable. Initial examinations revealed 17 with clearly malignant changes in 15 patients, and 23 with suspected malignancy in 14 patients. Examination of new specimens in these 14 patients revealed a further four tumors. Of the 19 patients diagnosed as having lung carcinoma five were operated upon. Three of these five were diagnosed cytologically although they had normal chest X-ray pictures.
本次调查的目的是要表明门诊患者痰液恶性细胞检查是否能提供足够适用于诊断目的的材料。本文呈现了在30个月期间对767例患者进行的1031次痰细胞学检查结果。302份标本（29.3%）不适用。初次检查发现15例患者中有17份标本有明确的恶性变化，14例患者中有23份标本有疑似恶性病变。对这14例患者的新标本检查又发现了4例肿瘤。在诊断为肺癌的19例患者中，有5例接受了手术。这5例中有3例尽管胸部X线片正常，但经细胞学诊断为肺癌。
