Krishnamurthy S C, Soni M, Jagannath K S, DeSouza L J
Department of Pathology, Tata Memorial Hospital, Bombay.
Indian J Gastroenterol. 1993 Jan;12(1):14-5.
Intraoperative fine needle aspiration cytology (FNAC) for pancreatic and ampullary lesions was carried out under direct vision using transduodenal approach in 97 patients. Cytological findings were classified as follows: positive for malignancy, suspicious for malignancy, benign (normal) cells from duodenum or pancreas, inflammatory and non-representative smears. Suboptimal smears (non-representative, suspicious and inflammatory) were excluded for calculating decision analysis values. Sensitivity for malignancy was 90.5% and specificity 100%. Positive and negative predictive values were 100% and 50% respectively. We conclude that intraoperative FNAC is useful in diagnosing malignant lesions of the pancreas.
对97例患者采用经十二指肠途径在直视下对胰腺和壶腹病变进行术中细针穿刺细胞学检查（FNAC）。细胞学检查结果分类如下：恶性阳性、恶性可疑、来自十二指肠或胰腺的良性（正常）细胞、炎症性涂片和非代表性涂片。计算决策分析值时排除了欠佳涂片（非代表性、可疑和炎症性）。恶性的敏感性为90.5%，特异性为100%。阳性和阴性预测值分别为100%和50%。我们得出结论，术中FNAC有助于诊断胰腺恶性病变。
