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细胞学胆汁检查在胆管肿瘤性狭窄诊断中的应用

Cytologic bile examination in the diagnosis of biliary duct neoplastic strictures.

作者信息

Harell G S, Anderson M F, Berry P F

出版信息

AJR Am J Roentgenol. 1981 Dec;137(6):1123-6. doi: 10.2214/ajr.137.6.1123.

DOI:10.2214/ajr.137.6.1123
PMID:6274178
Abstract

Cytodiagnosis of the bile is not frequently thought of as a method of obtaining a histopathologic diagnosis of the cause of a neoplastic biliary duct stricture. However, cells surrounding the biliary ducts are continuously exfoliated into bile and become available for cytologic examination whenever bile is collected. Nineteen patients with obstructive jaundice are reported. In seven of 15 with neoplastic biliary duct strictures, cytodiagnostic examination showed tumor cells. There were no false-positive results. The sensitivity of bile cytodiagnosis in this series was 47%, its specificity was 100%, and its accuracy was 58%.

摘要

胆汁的细胞诊断通常不被视为获取肿瘤性胆管狭窄病因组织病理学诊断的一种方法。然而,胆管周围的细胞会持续脱落到胆汁中,并且每当收集胆汁时,这些细胞就可用于细胞学检查。本文报告了19例梗阻性黄疸患者。在15例肿瘤性胆管狭窄患者中,有7例的细胞诊断检查显示有肿瘤细胞。没有假阳性结果。该系列中胆汁细胞诊断的敏感性为47%,特异性为100%,准确性为58%。

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J R Soc Med. 2002 Jun;95(6):302-4. doi: 10.1177/014107680209500612.
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Does bile spillage during an operation present a risk for peritoneal metastasis in bile duct carcinoma?手术过程中的胆汁溢出会给胆管癌患者带来腹膜转移风险吗?
Surg Today. 1997;27(11):1010-4. doi: 10.1007/BF02385780.
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Jpn J Surg. 1984 May;14(3):207-11. doi: 10.1007/BF02469569.
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