Tao L C, Pearson F G, Delarue N C, Langer B, Sanders D E
Cancer. 1980 Mar 15;45(6):1480-5. doi: 10.1002/1097-0142(19800315)45:6<1480::aid-cncr2820450630>3.0.co;2-4.
From the experiences in dealing with 2591 cases of transthoracic and transabdominal fine-needle aspiration biopsies (1967-1978), we present our views on the value of this relatively new diagnostic method to clinical practice. Virtually any accessible localized lesion in any organ of the body can be investigated by fine-needle aspiration biopsy, which is considered most useful in patients with suspected malignant disease. Transthoracic and transabdominal fine-needle aspiration biopsy may provide information otherwise obtainable only by thoracotomy or laparotomy. It is an inexpensive and safe method with high accuracy for obtaining a pathologic diagnosis, and can impart some practical significance to clinical practice, especially in clinical management. The pitfalls in cytomorphologic interpretation, which often cause unsuccessful attempts, can be readily avoided with increased practical experience, as indicated by the increase in detection rate of lung cancer by fine-needle aspiration method from 82.8% in 1967-1968 to 93.4% in 1976 at the Toronto General Hospital. The accuracy of cytologic diagnosis plays a major role in spreading this still relatively unfamiliar but excellent diagnostic method. We believe that the method deserves widespread clinical application and when this happens, it will bring about great savings in health care resources.
通过处理2591例经胸和经腹细针穿刺活检病例（1967 - 1978年）的经验，我们阐述了这种相对较新的诊断方法在临床实践中的价值。实际上，身体任何器官中任何可触及的局限性病变都可以通过细针穿刺活检进行检查，这种方法在疑似恶性疾病的患者中被认为是最有用的。经胸和经腹细针穿刺活检可能提供只有通过开胸手术或剖腹手术才能获得的信息。它是一种廉价且安全的方法，在获得病理诊断方面具有很高的准确性，并且可以对临床实践，尤其是临床管理具有一定的实际意义。细胞形态学解读中的陷阱常常导致检查失败，但随着实践经验的增加，这些陷阱是可以轻易避免的，如多伦多总医院通过细针穿刺法诊断肺癌的检出率从1967 - 1968年的82.8%提高到1976年的93.4%所示。细胞学诊断的准确性在推广这种仍然相对陌生但优秀的诊断方法中起着主要作用。我们认为该方法值得在临床上广泛应用，一旦实现，它将在医疗资源方面带来巨大节省。
