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[基于362例分析评估胃黏膜刷片细胞学诊断与活检组织学评估之间的一致性]

[Evaluation of agreement between brushing cytology diagnosis and histology evaluation of biopsy from gastric mucosa based on analysis of 362 cases].

作者信息

Dziecioł J, Musiałowicz B, Barwijuk-Machała M, Kisielewski W, Kemona A, Sobaniec-Lotowska M, Sulkowski S

机构信息

Zakładu Anatomii Patologicznej Akademii Medycznej w Białymstoku.

出版信息

Pol Arch Med Wewn. 1994 Apr;91(4):267-71.

PMID:8072887
Abstract

Retrospective analysis is presented for the diagnoses basing on brushing cytology and biopsy histology in 362 patients selected from the total number of 8600 cytologic examinations of gastric mucosa performed in this Department in the years 1984-1992. Endoscopy suggested neoplasma in 58 cases, peptic ulcer in 146 and gastritis in 158 cases. In 64 cytologic specimens neoplastic cells were found (17.7%). Histologic evaluation, in addition to brushing cytology, was possible in 316 cases; in 186 on gastroscopy, in 82 in surgical specimens, in 48 on postmortem. In one case only of positive brushing cytology the diagnosis of cancer was confirmed (1.7%). In 16 cases (8.2%) the brushing cytology is stressed, especially in monitoring subjects of high risk.

摘要

对1984年至1992年在本科室进行的8600例胃黏膜细胞学检查中选取的362例患者,基于刷检细胞学和活检组织学进行回顾性分析。内镜检查提示58例为肿瘤,146例为消化性溃疡,158例为胃炎。在64例细胞学标本中发现了肿瘤细胞(17.7%)。除刷检细胞学外,316例患者可行组织学评估;186例通过胃镜检查,82例通过手术标本,48例通过尸检。仅1例刷检细胞学阳性病例确诊为癌症(1.7%)。16例(8.2%)强调刷检细胞学,尤其在高危监测对象中。

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