细针吸取细胞诊断涎腺肿瘤

Cytodiagnosis of Salivary Gland Neoplasms by Fine Needle Aspiration

用细针吸取细胞诊断涎腺肿瘤154例,均经病理诊断对照。其中良性肿瘤占124例,恶性肿瘤30例,总符合率为94.2％;细胞学与病理诊断完全一致占81.2％;定性正确而组织学类型不一致占13％;良、恶性质误诊占5.8％。重点叙述了较多见的涎腺肿瘤细胞学诊断特征,并分析了误诊原因。

Cytodiagnosis of salivary gland neoplasms by fine needle aspiration is an accurate simple, rapid and inexponsive method. Four hundred and ten major and minor salivary gland tumors were detected by cytological examination of fine needle aspirates in recent years (1982.2～1988.6) .The satisfactory samples from 154 cases were compared with the histopathologic findings from the same cases, There were 124 benign tumors and 30 malignant tumors. The coincidence rate was 94.2% (145 cases) and the misdiagnosed rate 5.8% (9cases) The cytological features of various sativary gland tumors were described and the significance of the distribution of mucus was dicussed. Due to lack of experience, the misdiagnosed cases mainly appeared in the early stage of this study