眼内肿瘤细针穿刺活检的利与弊

Pros and cons of fine needle aspiration biopsy in ocular tumors

细针穿刺眼内活检(fine-needle aspiration biopsy,FNAB)是眼内肿瘤诊断性活检的重要方法,常用于脉络膜肿瘤以及原发性眼内淋巴瘤的诊断。随着穿刺技术以及标本处理方法的改进,FNAB的诊断敏感性和特异性逐渐增加。与其他眼内活检方法相比,FNAB具有方便、快捷、安全的优点,但肿瘤的播散依然是其潜在的风险。临床应用FNAB需严格掌握其适应证。

Fine-needle aspiration biopsy （FNAB） is an important method of intraocular tumors biopsy and often used in diagnosis of choroids tumors and primary intraocular lymphoma. The sensibility and specificity of FNAB will increase with technique improvement of biopsy and handling the samples. Compared with other methods of intraocular biopsy, FNAB shows more convenient, quickly and safer. However, dissemination of tumor cells may still be the potential risk of FNAB. Indication of FNAB should be correctly selected before used. （Ophthalmol CHN, 2012, 21： 217-221）