胸腹水恶性肿瘤病理细胞学检查分析

目的：比较恶性胸腹水几种细胞学检查的优缺点,探讨恶性胸腹水病理细胞学诊断的最佳途径。方法：对每例胸腹水行普通离心沉淀涂片、TCT制片,部分疑难病例结合沉渣包埋及免疫组化检查。结果：127例恶性胸腹水中,普通离心沉淀涂片诊断127例,TCT诊断127例,沉渣包埋诊断38例,免疫组化诊断24例。结论：普通离心沉淀涂片、TCT、沉渣包埋和免疫组化是恶性胸腹水细胞学的重要检查方法,普通离心沉淀涂片适于一般良恶性胸腹水,沉渣包埋和免疫组化适于复查和疑难病例,而TCT制片技术尚待改进。

Cytological analysis of 127 patients with serous fluids

Objective：To explore the best way of cytological diagnosis of malignant pleural effusion by comparing the advantages and disadvantages of several cytological diagnostic methods of malignant pleural effusion.Methods：Conventional smearing and TCT were used in 127 cases, in addition, paraffin embedded deposit slicing and immunohistochemistry were combined in some difficult cases.Results：In 127 cases of malignant pleural effusions, both conventional smearing and TCT diagnosed 127 cases, and for paraffin embedded deposit slicing and immunohistochemistry were 38 and 24 cases respectively.Conclusion：Conventional smearing, TCT, paraffin embedded deposit slicing and immunocytochemical staining are the important examinations of the malignant pleural effusion cytology. Conventional smear is indicated for general case, paraffin embedded deposit slicing and immunocytochemical staining are for review and difficult cases, while the TCT technology has yet to be improved.