90例甲状腺乳头状癌的针吸细胞学诊断

目的　总结甲状腺乳头状癌的针吸细胞学特征 ,为诊断与鉴别诊断提供重要依据。方法　回顾性分析 90例甲状腺乳头状癌针吸细胞学特征。结果　甲状腺乳头状癌的针吸细胞学特征有 :乳头状结构 91.11% (82 90 ) ;核内包涵体 85 .5 6 % (77 90 ) ;毛玻璃样核 6 7.78% (6 1 90 ) ;核沟 6 1.11% (5 5 90 ) ;多核巨细胞 5 6 .6 7% (5 1 90 ) ;砂粒体14 .4 4 % (13 90 )。结论　乳头状结构、核内包涵体为诊断甲状腺乳头状癌的重要指征 ;毛玻璃样核、核沟、多核巨细胞、砂粒体等在甲状腺乳头状癌的诊断中亦具重要价值。

Cytology diagnosis of needle aspiration in 90 cases of papillary carcinoma of thyroid

Objective To analyze the feature of needle aspirating cytology for papillary carcinoma of thyroid and provide diagnostic evidence.Methods The feature of needle aspirating cytology in 90 cases of papillary carcinoma of thyroid were analyzed retrospectively.Results The feature of needle aspirating cytology in papillary carcinoma of thyroid were observed as follows: papillary structure in 91.11% (82/90); intranuclear inclusion in 85.56% (77/90), ground glass nuclear in 67.78% (61/90), nuclear groove in 61.11% (55/90), multi-nuclear giant cell in 56.67% (51/90) and psammoma bodies in 14.44% (13/90). Conclusion Papillary structure and intranuclear inclusion are the important evidence for papillary carcinoma of thyroid. Other features as ground glass, nuclear groove, multi-nuclear giant cell and psammoma bodies is useful for diagnosis of papillary carcinoma of thyroid.