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细针抽吸细胞学检查诊断甲状腺癌的分析研究
引用本文:吴段秀,刘利敏,康劲松.细针抽吸细胞学检查诊断甲状腺癌的分析研究[J].华中科技大学学报(医学版),1998(6).
作者姓名:吴段秀  刘利敏  康劲松
作者单位:同济医科大学附属同济医院细胞室 武汉430030
摘    要:回顾性分析了 1996年元月~1998年元月应用细针抽吸细胞学检查(Fine Needle Aspiration Cytology,FNAC)诊断79例甲状腺癌。对79例FNAC诊断甲状腺癌全部进行病案追踪及随访,其中获得组织学诊断(即病理诊断)有54例,细胞学诊断与组织学诊断不相符合2例,1例基本相符,诊断符合率为96.2%。通过对79例细胞学诊断为甲状腺癌的涂片复检,进一步肯定了核内胞浆包涵体(称核内包涵体)对诊断甲状腺乳头状癌的价值,并述及相关的形态学特点,还分析了将桥本氏甲状腺炎的误诊为甲状腺乳头状癌的原因。

关 键 词:细胞学  组织学  核内包涵体  核沟  多核巨细胞

Diagnosis of Thyroid Carcinoma with Fine-needle Aspiration Cytological Examination
Wu Duanxiu,Liu Limin,Kang Jinsong.Diagnosis of Thyroid Carcinoma with Fine-needle Aspiration Cytological Examination[J].Journal of Huazhong University of Science and Technology(Health Sciences),1998(6).
Authors:Wu Duanxiu  Liu Limin  Kang Jinsong
Institution:Wu Duanxiu,Liu Limin,Kang Jinsong Department of Cytology,Tongji Hospital,Tongji Medical University,Wuhan 430030
Abstract:Seventy-nine cases of thyroid carcinoma were diagnosed by fine-needle aspiration cytology (FNAC) from Jan. 1996 to Jan. 1998. Among the 79 patients.54 patients obtained the pathological diagnosis (2 with FNAC diagnosis which did not conform to pathological diagnosis, whereas one partly conformed to pathology). The rate of the conformity between FNAC and pathology was 96. 2%. The morphology of the cytology and the pathology was analyzed and the value of the intranulear cytoplasmic inclusions in the thyroid carcinoma diagnosis was further confirmed. The reasons for misdiagnosis were also discussed.
Keywords:cytology  pathology  intranuclear cytoplasmic inclusions  multinulcear giant cell  thyroid carcinoma
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