Musiatowicz B, Dziecioł J, Sulkowska M, Polaków J, Baltaziak M
Department of Pathological Anatomy, Medical Academy of Białystok.
Rocz Akad Med Bialymst. 1997;42 Suppl 1:309-13.
Transthoracic fine needle aspiration specimens of the pulmonary tumors were obtained from 144 patients. Fine needle aspiration biopsy were performed using local anaesthesia and ultrasonographic or scopie control. The 20-gauge needles were used to obtain the specimens. 93 of patients have been diagnosed as squamous cell carcinomas, 28 as adenoid carcinomas, 18 as anaplastic carcinomas and 5 as a non neoplastic lesions (tuberculoma and abscessus). The tumors were typed according to the second WHO histological classification. Analysis of the date indicated that malignant neoplasms were identified correctly with an accuracy of 92.0%. There were not false positive diagnoses. There were two false negative diagnoses (squamous cell carcinoma) and in three cases the diagnosis were as suspected for malignancy. The results confirmed the value of fine needle aspiration cytopathology for the diagnosis of pulmonary tumors.
从144例患者获取了肺肿瘤的经胸细针穿刺标本。细针穿刺活检在局部麻醉和超声或内镜引导下进行。使用20号针获取标本。93例患者被诊断为鳞状细胞癌，28例为腺样癌，18例为间变性癌，5例为非肿瘤性病变（结核瘤和脓肿）。肿瘤根据世界卫生组织第二次组织学分类进行分型。数据分析表明，恶性肿瘤的正确识别准确率为92.0%。无假阳性诊断。有2例假阴性诊断（鳞状细胞癌），3例诊断为疑似恶性肿瘤。结果证实了细针穿刺细胞病理学在肺肿瘤诊断中的价值。
