细针抽吸细胞学检查诊断甲状腺癌的分析研究

Diagnosis of Thyroid Carcinoma with Fine-needle Aspiration Cytological Examination

回顾性分析了 1996年元月～1998年元月应用细针抽吸细胞学检查（Fine Needle Aspiration Cytology,FNAC）诊断79例甲状腺癌。对79例FNAC诊断甲状腺癌全部进行病案追踪及随访,其中获得组织学诊断（即病理诊断）有54例,细胞学诊断与组织学诊断不相符合2例,1例基本相符,诊断符合率为96.2％。通过对79例细胞学诊断为甲状腺癌的涂片复检,进一步肯定了核内胞浆包涵体（称核内包涵体）对诊断甲状腺乳头状癌的价值,并述及相关的形态学特点,还分析了将桥本氏甲状腺炎的误诊为甲状腺乳头状癌的原因。

Seventy-nine cases of thyroid carcinoma were diagnosed by fine-needle aspiration cytology (FNAC) from Jan. 1996 to Jan. 1998. Among the 79 patients.54 patients obtained the pathological diagnosis (2 with FNAC diagnosis which did not conform to pathological diagnosis, whereas one partly conformed to pathology). The rate of the conformity between FNAC and pathology was 96. 2%. The morphology of the cytology and the pathology was analyzed and the value of the intranulear cytoplasmic inclusions in the thyroid carcinoma diagnosis was further confirmed. The reasons for misdiagnosis were also discussed.