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[胸腔积液中的非恶性细胞]

[Non-malignant cells in pleural fluid].

作者信息

Zsiray M, Lukács J, Appel J, Lantos A, Szondy K

机构信息

Pulmonológiai Klinika, Semmelweis Orvostudományi Egyetem, Budapest.

出版信息

Orv Hetil. 1995 Jan 1;136(1):27-30.

PMID:7845663
Abstract

Insufficient attention has been paid to the cytological examination of cellular elements of the pleural fluid besides or in the absence of tumour cells. 108 cases studied due to pleural fluid were selected. They were characterized by the following: 1. each had histological diagnosis established by either pleuroscopy or by pleural needle biopsy and 2. neither of the samples contained tumour cells. Relationship of the dominant cell type and the ethiology of the pleural fluid was analysed. In case of punctates rich in lymphocytes further cytopathological differentiation is possible, e.g. in case of tuberculotic origin the absence of large mesothelial cells with Giemsa-basophilic cytoplasm is rather characteristic. The use of bioptic methods in the clarification of the origin of pleural fluid is still indispensible.

摘要

除肿瘤细胞外或在无肿瘤细胞的情况下,对胸腔积液细胞成分的细胞学检查关注不足。选取了108例因胸腔积液而进行研究的病例。这些病例具有以下特点:1. 每例均通过胸腔镜检查或胸腔穿刺活检建立了组织学诊断;2. 两份样本均未发现肿瘤细胞。分析了主要细胞类型与胸腔积液病因之间的关系。在富含淋巴细胞的穿刺液中,进一步进行细胞病理学鉴别是可行的,例如在结核性胸腔积液中,缺乏吉姆萨嗜碱性细胞质的大间皮细胞是相当典型的。活检方法在明确胸腔积液病因方面仍然不可或缺。

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