食管腺癌的细胞学和组织学诊断分析

目的：探讨信用这中段腺癌细胞学诊断意义。方法：对２０例食管腺癌病例的组织切片和细胞学涂片进行形态学对照观察。结果：印戒细胞癌３例，粘液腺癌７例，管状腺癌６例，腺鳞癌２例，粘液表皮样癌２例。其细胞学的共同特征为细胞学涂片中常出现粘液背景或含粘液的癌细胞，细胞学与病理组织学诊断的符合率达９０％。结论：细胞学有助于食管腺癌的诊断食管腺癌可能起地食管固有腺。

Analysis of cytological and histopathological diagnosis in esophageal adenocarcinomas

Purpose To show the value of the cytological diagnosis in esophageal adenocarcinomas. Methods Twenty cases of esophageal adenocarcinomas were morphologically studied with sections and smears. Results Mucous background or mucous cells were often detected on the smears of the esophageal adenocarcinomas. The coincidence rate between the diagnosis of muciparous esophageal carcinomas made with sections and that made with smears reached 90%. Conclusion Cytological examination is helpful to the diagnosis of esophapeal adenocarcinomas. Esophageal carcinomas probably originate from glands propria of esophagus.