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经直肠细胞学穿刺活检在前列腺疾病中的应用

Transrectal cytological aspiration biopsy in prostatic disease.

作者信息

Møller J T

出版信息

Int Urol Nephrol. 1977;9(3):235-40. doi: 10.1007/BF02082169.

DOI:10.1007/BF02082169
PMID:75865
Abstract

Of 761 fine-needle biopsy specimens obtained from the prostate by the method of Franzén, 303 originated from patients in whom either a histological diagnosis had been obtained or cancer had been confirmed by increased levels of prostatic phosphatases. Among palpable cancers, 83% were diagnosed by this method, and none of them gave falsely negative results. Among the cancers with benign palpatory findings and normal phosphatase levels, cytological examination did not show cancer in any of the cases. It is concluded that the method is unsuited for screening of proctatic cancer, but its use is indicated for the confirmation of the diagnosis in cases with abnormal palpatory findings, and when the diagnosis seems likely from the results of biochemical analysis and/or radiographic studies. On these indications, repeated aspiration should be done if the first biopsy specimen does not reveal cancer.

摘要

通过弗兰岑方法从前列腺获取的761份细针穿刺活检标本中,303份来自已获得组织学诊断或前列腺磷酸酶水平升高已确诊癌症的患者。在可触及的癌症中,83%通过该方法得以诊断,且无一例出现假阴性结果。在触诊结果为良性且磷酸酶水平正常的癌症中,细胞学检查在所有病例中均未显示癌症。结论是该方法不适用于前列腺癌筛查,但在触诊结果异常以及根据生化分析和/或影像学研究结果似乎可能确诊的病例中,可用于确诊。基于这些指征,如果首次活检标本未发现癌症,应进行重复穿刺。

相似文献

1
Transrectal cytological aspiration biopsy in prostatic disease.经直肠细胞学穿刺活检在前列腺疾病中的应用
Int Urol Nephrol. 1977;9(3):235-40. doi: 10.1007/BF02082169.
2
[Cytological diagnosis of the prostate].[前列腺的细胞学诊断]
Urologe A. 1983 May;22(3):134-43.
3
The role of transrectal fine needle aspiration cytology in the diagnosis of prostatic nodules suspicious of malignancy--a study of 126 cases.经直肠细针穿刺细胞学检查在可疑恶性前列腺结节诊断中的作用——126例研究
Indian J Pathol Microbiol. 1990 Jan;33(1):23-9.
4
Role of fine needle aspiration cytology (FNAC) in the diagnosis of prostatic lesions with histologic correlation.细针穿刺细胞学检查(FNAC)在前列腺病变诊断中的作用及其与组织学的相关性。
Bangladesh Med Res Counc Bull. 2005 Dec;31(3):95-103.
5
[Cytological diagnosis of prostatic carcinoma by transrectal fine-needle biopsy and its malignancy grading (author's transl)].
Urologe A. 1973 Sep;12(5):259-67.
6
The cytological diagnosis of prostatic carcinoma by transrectal fine needle aspiration.经直肠细针穿刺抽吸术对前列腺癌的细胞学诊断
J Urol. 1983 May;129(5):998-1000. doi: 10.1016/s0022-5347(17)52507-0.
7
Transrectal fine-needle aspiration biopsy of prostatic carcinoma.前列腺癌的经直肠细针穿刺活检
Acta Urol Belg. 1983;51(1):43-55.
8
[Cytodiagnostic study of the prostate by transrectal aspiration biopsy].
Schweiz Med Wochenschr. 1969 Mar 1;99(9):291-8.
9
[Transrectal longitudinal sonography of the prostate in prostatic cancer].[经直肠前列腺纵向超声检查在前列腺癌中的应用]
Z Urol Nephrol. 1988 Sep;81(9):547-54.
10
Transrectal fine needle aspiration of prostate.经直肠前列腺细针穿刺抽吸术
J Assoc Physicians India. 1993 Jun;41(6):364-6.

本文引用的文献

1
Cytological diagnosis of prostatic tumours by transrectal aspiration biopsy: a preliminary report.经直肠穿刺活检对前列腺肿瘤的细胞学诊断:初步报告
Br J Urol. 1960 Jun;32:193-6. doi: 10.1111/j.1464-410x.1960.tb03763.x.
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Cytological versus histological examination of needle biopsy specimens in the diagnosis of prostatic cancer.针吸活检标本的细胞学检查与组织学检查在前列腺癌诊断中的应用
Br J Urol. 1967 Oct;39(5):544-8. doi: 10.1111/j.1464-410x.1967.tb11792.x.
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[Transrectal aspiration biopsy of the prostate].[经直肠前列腺穿刺活检]
Ugeskr Laeger. 1971 Jun 4;133(22):1073-6.
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[Aspiration biopsy and cytology of prostatic cancer].[前列腺癌的穿刺活检与细胞学检查]
Virchows Arch A Pathol Pathol Anat. 1971;352(2):122-9.
5
Cytologic diagnosis of prostatic tumors with the aid of transrectal aspiration biopsy. A critical review of 1,110 cases and a report of morphologic and cytochemical studies.经直肠穿刺活检辅助前列腺肿瘤的细胞学诊断。对1110例病例的批判性回顾及形态学和细胞化学研究报告。
Acta Cytol. 1966 May-Jun;10(3):182-6.
6
Cytologic aspects of diseases of the prostate.前列腺疾病的细胞学特征
Int Urol Nephrol. 1974;5(3):297-310. doi: 10.1007/BF02081908.
7
Morphological criteria for the control of carcinoma of the prostate with estrogen therapy.雌激素疗法治疗前列腺癌的形态学控制标准。
Int Urol Nephrol. 1974;6(3-4):195-200. doi: 10.1007/BF02089265.