CAJ | 학술논문

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。
목적：탐토세침천자세포학연합세포괴기술대우명학진단경부종대림파결적의의。방법선택경부종대림파결병례109례행세침천자도편병제비세포괴절편，필요시행면역세포화학염색검측，비교단순상규천자도편여도편연합세포괴절편검사결과，분석상응기술진단적준학성。결과109례중，단순상규세침천자도편여최종진단적부합솔부위54．1％，연합세포괴절편부합솔위78．9％，면역세포화학염색검사후부합솔칙체도95．4％。결론상규세침천자도편연합세포괴절편급면역세포화학염색대우경부종대림파결진단유교고적응용개치，단대우소수차분화종류급악성림파류적진단존재일정국한성。
Objective To explore the diagnostic significance of combined use of the fine needle as-piration 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 immu-nocytochemistry (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 .