细针穿刺细胞学检查在颈部肿块诊断中的应用价值

Significance of fine-needle aspiration cytology in cervical masses

目的探讨细针穿刺细胞学(fine-needle aspitation cytology,FNAC)检查在颈部肿块诊断中的临床应用价值。方法对照分析该院2007年8月～2008年7月112例颈部肿块细针穿刺细胞学检查与活检或术后病理切片结果。结果112例颈部肿块诊断良性肿瘤18例,恶性肿瘤73例,非肿瘤性病变19例,诊断不明2例。与组织学对比发现,FNAC诊断总准确率87.5%,诊断良性病变准确率93.8%,诊断恶性病变准确率97.3%。结论FNAC对颈部肿块诊断具有很高的准确率,尤其对颈部恶性肿瘤的诊断价值更高。

[Objective] To study the clinical utility of fine-needle aspiration cytology （FNAC） in the diagnosis of cervical masses. [Methods] 112 FNAC specimens of cervical masses were reviewed and correlated with final histologic diagnosis as the criterion in our hospital. [ Results] The FNAC diagnostic benign neoplasm 18, malignant neoplasm 73, non-neoplastic lesions 19 and no-diagnosis 2. Compared with histopathologie finding, the sensitivity of FNAC was 87.5%, including 93.8% benign lesions and 97.3% malingant tumors. [Conclusions] FNAC is a reliable and highly sensitive technique in the diagonosis of cervical masses,especially in malignant tumors.