CAJ | 학술논문

目的探讨术前细针穿刺细胞块对胰腺占位性病变的诊断价值.方法回顾分析本院2005年1月至2010年6月收治的胰腺占位性病变83例,术前均行B超引导下穿刺作细胞学涂片及细胞块检查,并与最终病理诊断作对比研究.结果细胞学涂片和细胞块切片的准确性分别为89.2%、97.6%,两者比较差异显著(P＜0.05).细胞块诊断实性假乳头状瘤和胰腺内分泌肿瘤的准确性均为100%.结论术前穿刺细胞块检查可提高诊断的准确性.细胞块结合免疫组化分析,有助于提高胰腺肿物的分型,尤其是实性假乳头状瘤和胰腺内分泌肿瘤的检出率,减少漏诊和误诊.
목적 탐토술전세침천자세포괴대이선점위성병변적진단개치.방법 회고분석본원2005년1월지2010년6월수치적이선점위성병변83례,술전균행B초인도하천자작세포학도편급세포괴검사,병여최종병리진단작대비연구.결과 세포학도편화세포괴절편적준학성분별위89.2%、97.6%,량자비교차이현저(P＜0.05).세포괴진단실성가유두상류화이선내분비종류적준학성균위100%.결론 술전천자세포괴검사가제고진단적준학성.세포괴결합면역조화분석,유조우제고이선종물적분형,우기시실성가유두상류화이선내분비종류적검출솔,감소루진화오진.
Objective To investigate the diagnostic value of fine needle aspiration cell block to the pancreatic lesion. Methods From January 2005 to June 2010 there were 83 patients with pancreatic lesion were selected. Preoperatively they underwent ultrasound guided fine needle aspiration cytology (FNAC) and cell block,and the diagnosis results of them were compared with the final diagnosis available. Results Accuracy of FNAC and cell block were 89. 2% , 97.6% , there was a statistic difference ( P ＜ 0. 05 ). The accuracy of cell block for Solid pseudopapillary tumor of the pancreas (SPTP) and pancreatic endocrine tumor werel00%.Conclusion Ultrasound guided fine needle aspiration of cell block of the pancreas may increase the accuracy of pancreatic lesion. The combination of IHC staining to the cell block may have a high applied value to histological typing in pancreatic lesion, especially for SPTP and pancreatic endocrine tumor.