|本期目录/Table of Contents|

[1]张春梁,陈水平,黄丽云,等.细针穿刺细胞学及细胞块技术在颈部肿大淋巴结诊断的意义[J].福建医科大学学报,2014,48(01):54-56.
 ZHANG Chunliang,CHEN Shuiping,HUANG Liyun,et al.Diagnostic Significance of the Fine Needle Aspiration Cytologyand Cell Block Technology in Cervical Lymphadenopathy[J].Journal of Fujian Medical University,2014,48(01):54-56.
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细针穿刺细胞学及细胞块技术在颈部肿大淋巴结诊断的意义(PDF)
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《福建医科大学学报》[ISSN:1672-4194/CN:35-1192/R]

卷:
第48卷
期数:
2014年01期
页码:
54-56
栏目:
临床研究
出版日期:
2014-12-26

文章信息/Info

Title:
Diagnostic Significance of the Fine Needle Aspiration Cytologyand Cell Block Technology in Cervical Lymphadenopathy
文章编号:
1672-4194(2014)01-0054-03
作者:
张春梁 陈水平 黄丽云 晋 雯
福建医科大学 基础医学院病理学系,福州 350108
Author(s):
ZHANG Chunliang CHEN Shuiping HUANG Liyun JIN Wen
Department of Pathology,Basic Medical Sciences,Fujian Medical University,Fuzhou 350108, China
关键词:
活组织检查针吸 淋巴结 淋巴瘤 淋巴转移 免疫组织化学 染色与标记 细胞诊断学
Keywords:
biopsy needle neck lymph nodes lymphoma lymphatic metastasis immunohistochemistry staining and labeling cytodiagnosis
分类号:
R322.25; R323.1; R446.8; R733.4; R730.26
DOI:
-
文献标志码:
A
摘要:
目的 探讨细针穿刺细胞学联合细胞块技术对于明确诊断颈部肿大淋巴结的意义。 方法 选择颈部肿大淋巴结病例109例行细针穿刺涂片并制备细胞块切片,必要时行免疫细胞化学染色检测,比较单纯常规穿刺涂片与涂片联合细胞块切片检查结果,分析相应技术诊断的准确性。 结果 109例中,单纯常规细针穿刺涂片与最终诊断的符合率仅为54.1%,联合细胞块切片符合率为78.9%,免疫细胞化学染色检查后符合率则达到95.4%。 结论 常规细针穿刺涂片联合细胞块切片及免疫细胞化学染色对于颈部肿大淋巴结诊断有较高的应用价值,但对于少数差分化肿瘤及恶性淋巴瘤的诊断存在一定局限性。
Abstract:
Objective To explore the diagnostic significance of combined use of the fine needle aspiration cytology(FNAC)and cell block technique(FNACB)in the cervical lymphadenopathy. Methods 109 cases of cervical lymphadenopathy were examined by combined FNAC and FNACB as well as immunocytochemistry(ICC)when necessary, and compared with FNAC only to analyze the diagnostic accuracy. Results The diagnostic accuracy of FNAC, FNAC + FNACB, and FNAC + FNACB + ICC was 51.4%, 78.9% and 95.4%, respectively. Conclusion FNAC combined with FNACB and ICC is of higher diagnostic value but has some limitations in accurate diagnosis of poorly differentiated carcinomas and malignant lymphoma.

参考文献/References:

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[7] Yorihisa Q,Soichiro N,Yasuharu S,et al.Cervical lymph node extirpation for the diagnosis of malignant lymphoma[J].Surg Today,2013,43:67-72.
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备注/Memo

备注/Memo:
收稿日期: 2013-10-31
作者单位: 福建医科大学 基础医学院病理学系,福州 350108
作者简介: 张春梁(1978-),男,助教
通讯作者: 晋 雯. Email: jinwen9484@163.com
更新日期/Last Update: 2014-01-31