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恶性心包积液细胞块病理检查的意义(附30例分析)
引用本文:窦燕,邓节喜,张闽峰,郭以河.恶性心包积液细胞块病理检查的意义(附30例分析)[J].现代肿瘤医学,2011,19(9):1748-1749.
作者姓名:窦燕  邓节喜  张闽峰  郭以河
作者单位:1. 解放军175医院/厦门大学附属东南医院心血管内科,福建,漳州,363000
2. 解放军175医院/厦门大学附属东南医院病理科,福建,漳州,363000
摘    要:目的:通过心包积液中肿瘤细胞制作的细胞块进行疾病诊断和肿瘤来源的鉴别诊断,评价心包积液对临床诊断的价值。方法:30例恶性肿瘤并发恶性心包积液患者,心包穿刺引流积液送病理制作细胞块进行肿瘤来源的诊断,验证临床疾病的诊断。结果:30例恶性心包积液细胞块鉴别诊断病因中,肺癌21例,其中腺癌17例,鳞癌3例,小细胞未分化癌1例;乳腺癌4例;食管癌1例;结肠癌2例;红细胞太多,无法制作细胞块2例。结论:恶性心包积液细胞块留取对疾病的诊断有重要临床意义,对晚期肿瘤转移性心包积液确定原发灶提供病理诊断和临床肿瘤的治疗有积极的作用。

关 键 词:心包积液  细胞块  肿瘤  鉴别诊断

Differential diagnosis of 30 cases of malignant hydropericardium with the pleural fluid cell blocks
DOU Yan,DENG Jiexi,ZHANG Minfeng,GUO Yihe.Differential diagnosis of 30 cases of malignant hydropericardium with the pleural fluid cell blocks[J].Journal of Modern Oncology,2011,19(9):1748-1749.
Authors:DOU Yan  DENG Jiexi  ZHANG Minfeng  GUO Yihe
Institution:DOU Yan1,DENG Jiexi1,ZHANG Minfeng2,GUO Yihe2 1Department of Cardiology,2Department of pathology,175th Hospital of PLA,Zhangzhou 363000,China.
Abstract:Objective:To evaluate the role in diagnosing disease or origin of tumour with the pleural fluid cell blocks of patient's malignant hydropericardium.Methods:For 30 patients wiht malignant hydropericardium were made into cell blocks by centrifugal separation.Results:In the 30 patients,21 patients were pulmonary cancer,4 were mammary cancers,1 was esophageal cancer;2 were colonic cancers,2 cases' malignant hydropericardium couldn't be made into cell blocks because of overmany erythrocytes.Conclusion:The cell b...
Keywords:hydropericardiu  cell blocks  tumor  differential diagnosis  
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