临床诊断与尸检诊断之间的关系，尤其是关于癌症方面的关系。

Relation between clinical and autopsy diagnoses, especially as regards cancer.

作者信息

Stenbäck F, Päivärinta H

出版信息

Scand J Soc Med. 1980;8(2):67-72. doi: 10.1177/140349488000800204.

PMID:7209450

Abstract

The clinical diagnoses of 377 patients were compared with those derived from autopsy; the incidence, confirmation rate and detection rate were correlated to age, sex and duration of stay in the hospital. The diagnoses were in complete agreement in 75% of the cases; as regards location they differed in 20% and malignancy being unsuspected in 5% of the cases, where vascular diseases were the most frequent clinical findings. Lymphomas and leukemias were overrepresented in the study and had a high confirmation and detection rate, 97% resp. 94%. Tumours of the liver, gallbladder and pancreas were underrepresented and had a low detection rate, 37%, and confirmation rate, 59%. For other tumours the confirmation rate was higher, 84-97%, and detection rate lower, 72-80%. Similar antemortem and postmortem diagnoses were seen most commonly in young patients, regardless of sex and who stayed in the hospital for an extended period of time.

摘要

将377例患者的临床诊断结果与尸检得出的诊断结果进行了比较；发病率、确诊率和检出率与年龄、性别及住院时长相关。75%的病例诊断完全一致；在病变位置方面，20%的病例存在差异，5%的病例未怀疑有恶性肿瘤，其中血管疾病是最常见的临床发现。淋巴瘤和白血病在该研究中占比过高，确诊率和检出率分别高达97%和94%。肝脏、胆囊和胰腺肿瘤的占比过低，检出率为37%，确诊率为59%。对于其他肿瘤，确诊率较高，为84%-97%，而检出率较低，为72%-80%。无论性别，年轻患者且住院时间较长的患者生前和死后诊断结果相似的情况最为常见。