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[细胞学在肺癌诊断中的作用评估。330例近端癌的细胞学与病理解剖学比较]

[Evaluation of the role of cytology in the diagnosis of cancer of the lung. Comparison between cytology and pathological anatomy in 330 cases of proximal cancers].

作者信息

De Villaine S, Mesguich P, Fabien N, Isaac S, Rochet M, Paulin C

机构信息

Laboratoire de Cytologie, Centre Hospitalier Lyon-Sud, Pierre-Bénite.

出版信息

Rev Mal Respir. 1996 Jul;13(3):295-9.

PMID:8765923
Abstract

This retrospective study was performed to evaluate the interest of cytology in the diagnosis of pulmonary carcinomas. Bronchial samples were collected from 330 patients known to display a macroscopic lesion which was detected by bronchoscopy. Cytological analysis of the bronchial brushings and washings, removed at the first fibroscopy, allowed the diagnosis of malignancy in 92% of the cases analyzed whereas the biopsy confirmed the malignancy in 77% of the cases. In conclusion cytological studies gave information on malignity and classification in 90% of the cases. However histological classification only could guarantee the choice of the best treatment regimen.

摘要

本回顾性研究旨在评估细胞学检查在肺癌诊断中的价值。从330例已知有肉眼可见病变且经支气管镜检查发现的患者中采集支气管样本。对首次纤维支气管镜检查时获取的支气管刷检和灌洗样本进行细胞学分析,在92%的分析病例中确诊为恶性肿瘤,而活检在77%的病例中证实为恶性肿瘤。总之,细胞学研究在90%的病例中提供了有关恶性肿瘤和分类的信息。然而,只有组织学分类才能确保选择最佳治疗方案。

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