颈部肿块细针吸取细胞学诊断

A summary of neck tumour cytologic examination drawn by fine-needle

我科从1985－1991年进行颈部肿块细针吸取细胞学检查共600例，有病理组织学证实138例，其中恶性病变66例。淋巴结、甲状腺各占60．10％，23．50％。细胞学阳性158例，占26．33％，可疑恶性32例、占5．33％；和术后病理组织学诊断对照，恶性病变符合率8030％，良性病变符合率为93．06％，总符合率为86．96％。敏感率（阳性＋可疑）淋巴结、甲状腺分别为96．29％和90．00％。本文对假阳性、假阴性病例进行了分析。

A total of 600 cases of neck tumour had undergone fine-needle cytologic examination between 1985 - 1991, in which 138 cases were confirmed by pathological paraffin section and. 66 cases were malignant. The percentage of lymphonodi and thyroids was respcctively 60.10% and 23. 50%. The cytologic positeness was 158 cases accounting for 26. 33% and dubious malignance was 32 cases making up 5. 33% To compare preoperative cytological diagnosis with postoperative pathologic one,malignant coincidance rate was 80.30%,and benign 93.06%. The general coincidence rate was 86.96%. The rate of sensibility including positeness and dubiousness in lymphonodi was 96. 29% and in thyroid 90.00%. In addition tbe false positive and negative conclusion was analysed in this article.