Sudasna Na Ayudhya N, Luengrojanakul P, Suwanagool P
Department of Pathology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1994 Jan;77(1):7-11.
A two-year study of endoscopic brush cytology and biopsy histology was carried out in 63 patients suspected of having malignant lesions in the stomach and the eosophagus. The study was designed to evaluate the accuracy and usefulness of combined cytological examination with biopsy histological examination in the diagnosis of malignancy of the upper gastrointestinal tract. The rate of diagnostic accuracy of the combined technique was found to be high and comparable with those of other published studies. Correlations between the cytological and histological findings were observed in 52 cases (82.53%). The combined method detected malignancy in 27 cases, whereas, the brush cytology alone detected malignancy in 19 cases. The findings of our study indicate that combined brush cytology and biopsy histology under direct vision using fibrescope are of value for the diagnosis of gastroeosophageal malignancy.
对63例疑似胃和食管恶性病变的患者进行了为期两年的内镜刷检细胞学和活检组织学研究。该研究旨在评估细胞学检查与活检组织学检查相结合在上消化道恶性肿瘤诊断中的准确性和实用性。发现联合技术的诊断准确率很高，与其他已发表研究的准确率相当。在52例（82.53%）病例中观察到细胞学和组织学结果之间的相关性。联合方法检测出27例恶性肿瘤，而单独的刷检细胞学检测出19例恶性肿瘤。我们的研究结果表明，在纤维内镜直视下联合刷检细胞学和活检组织学对胃食管恶性肿瘤的诊断具有价值。
