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细胞离心涂片法在实体病理组织常规细胞学诊断中的应用(作者译)

[Application of cytocentrifugation to routine cytological diagnosis of solid pathologic tissues (author's transl)].

作者信息

Eloit P, Alepee B, Marsan C

出版信息

Ann Pathol. 1981;1(4):317-25.

PMID:6172137
Abstract

Cytocentrifugation (Watson, 1966) was first proposed as a better cell concentrating technique; more recently, it appeared that the samples, thanks to the "monodispersion" of the cells, are quite suitable for A.L.A. *Automated Image Analysis); this property may be applied to routine microscopic cytodiagnosis of several lesions. This paper is an attempt to discuss the different technical problems to obtain suitable cells from solid pathologic tissues: first, a sufficient quantity of cells must be obtained and a correct medium must be adopted; a special care must be taken for the collecting of the samples; the mediums must be chosen as the most convenient to fix cells, to solve mucous, to permit monolayer spreading to stick unto the slides; a method of cytocentrifugation is described. The characters of the smears are reported about cell concentration, evaluation of cell loss, control of monolayer dispersion, signification of clumps and agregates. The techniques of fixation and staining of such samples are precise for the two chosen mediums: after using PBS-albumin, the slides have to be air-dried and stained according to Papanicolaou or May-Grunwald Giemsa technique; after BABS solution, the slides may be fixed with spray and have to be stained according to Papanicolaou. Technical results applied to 97 cases of bronchial, breast and liver samples are discussed. The advantages of the method are: rapid examination, easy storage of slides, satisfactory preservation of cells, even for the most delicate ones (ciliated bronchial cells, for instance), absence of mucous background, minimal cells loss, possibility of enzymologic studies. Moreover the method happens to be inexpensive.

摘要

细胞离心涂片法(沃森,1966年)最初被提出作为一种更好的细胞浓缩技术;最近发现,由于细胞的“单分散性”,这些样本非常适合进行自动图像分析;这一特性可应用于多种病变的常规显微细胞诊断。本文试图讨论从实体病理组织中获取合适细胞的不同技术问题:首先,必须获得足够数量的细胞,并采用正确的培养基;采集样本时必须格外小心;必须选择最便于固定细胞、溶解黏液、使单层细胞铺展并附着在载玻片上的培养基;本文描述了一种细胞离心涂片法。报告了涂片在细胞浓度、细胞损失评估、单层细胞分散控制、团块和聚集体意义方面的特征。针对两种选定的培养基,此类样本的固定和染色技术是精确的:使用PBS - 白蛋白后,载玻片必须风干,并根据巴氏染色法或迈 - 格姬姆萨染色法进行染色;使用BABS溶液后,载玻片可用喷雾固定,并必须根据巴氏染色法进行染色。讨论了将该技术应用于97例支气管、乳腺和肝脏样本的结果。该方法的优点包括:检查快速、载玻片易于保存、细胞保存良好,即使是最脆弱的细胞(例如纤毛支气管细胞)也能保存良好、无黏液背景、细胞损失最小、可进行酶学研究。此外,该方法成本低廉。

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