Sammour M B, El Mehallawi M N, Iskander S G, Abd-El-Kader G, Hassan A Z
Acta Cytol. 1980 Jul-Aug;24(4):297-303.
Cul-de-sac aspiration was performed for cytologic sampling in 137 cases of polycystic ovaries treated by wedge resection. Fifty patients undergoing abdominal tubal ligations also underwent aspiration of the pouch of Douglas as a control group. The cytodifferential count in polycystic ovarian disease showed 30% to 40% mesothelial cells, 15% to 20% polymorphonuclear leukocytes, 15% to 20% lymphocytes, 10% to 15% squamous cells and 1% to 5% histiocytes. The corresponding count in the control group showed 15% to 20% mesothelial cells, 20% to 25% polymorphonuclear leukocytes, 15% to 20% lymphocytes, 10% to 15% squamous cells and 1% to 3% histiocytes. Cells exfoliated from the fimbrial end of the tube were encountered in most smears. Abnormal cells were diagnosed in seven cases of polycystic ovarian disease due to a coexistent neoplasm, i.e., two dermoid cysts, a carcinoid tumor, a hilus cell tumor, a simple serous cyst, a pseudomucinous cystadenoma and endometriosis of the ovary. All tumors were histologically diagnosed in the resected wedges of the ovaries.
对137例接受楔形切除术治疗的多囊卵巢患者进行了陷凹穿刺以获取细胞学样本。50例接受腹部输卵管结扎术的患者也对Douglas窝进行了穿刺作为对照组。多囊卵巢疾病的细胞分类计数显示，间皮细胞占30%至40%，多形核白细胞占15%至20%，淋巴细胞占15%至20%，鳞状细胞占10%至15%，组织细胞占1%至5%。对照组的相应计数显示，间皮细胞占15%至20%，多形核白细胞占20%至25%，淋巴细胞占15%至20%，鳞状细胞占10%至15%，组织细胞占1%至3%。大多数涂片可见从输卵管伞端脱落的细胞。7例多囊卵巢疾病患者因合并肿瘤而诊断出异常细胞，即2例皮样囊肿、1例类癌肿瘤、1例门细胞瘤、1例单纯浆液性囊肿、1例黏液性囊腺瘤和卵巢子宫内膜异位症。所有肿瘤均在切除的卵巢楔形组织中经组织学诊断。
