Krisch K, Jakesz R, Erd W, Klement M B, Feigl W, Sinzinger H, Laczkovics A
MMW Munch Med Wochenschr. 1976 Oct 22;118(43):1383-6.
80 thyroid gland aspirates obtained post-operatively were compared with 69 clinically punctured cases. The results suggest that the vast majority of cytological misdiagnoses are caused by a faulty withdrawal technique. As a contribution to the differential diagnosis of "follicular neoplasia" an attempt was made to introduce the diameter of the nucelus obtained morphometrically as a parameter of malignancy. In aspirates of highly differentiated follicular carcinomas a significantly higher percentage of thyrocytes with larger nuclear diameters are found than in benign nodular changes in the thyroid gland.
将80例术后甲状腺细针穿刺抽吸物与69例临床穿刺病例进行了比较。结果表明，绝大多数细胞学误诊是由错误的穿刺技术引起的。为了有助于“滤泡性肿瘤”的鉴别诊断，尝试引入通过形态测量获得的细胞核直径作为恶性肿瘤的一个参数。在高分化滤泡癌的抽吸物中，发现核直径较大的甲状腺细胞百分比明显高于甲状腺良性结节性病变。
