肝穿细胞学对肝癌的诊断价值

The Value of Aspiration Cytology in the Diagnosis of Hepatocarcinoma

本文对41例临床疑为肝癌的病人在B型超声引导下,经定位做肝脏细针穿刺的细胞学涂片检查,一次性穿刺涂片检查的阳性率为87.8％。按细胞形态学特点分型:肝细胞型肝癌21例,占58.3％;胆管型肝癌3例,占8.3％;不能分型的恶性细胞8例,占22.2％;可疑恶性细胞4例,占11.1％。有27例在临床做过AFP检查,其中有6例为阴性,经本次肝脏穿刺细胞学检查确诊为肝癌。

Examination of 41 patients of suspicious hepatocarcinoma through fine needle aspiration guided by B-scan ultrasound was presented in this paper. The overall positive diagnosis rate of one-shot aspiration smear was 87.8%. According to the characteristics of morphology, four types of cells might be classiffied: 1. 21 cases were liver cell carcinoma? making up 58.3%; 2. 3 cases were bile duct cell carcinoma, 8.3%? 3. 8 cases were diagnosed as malignant tumor but could not be classified into any type, 22.2%; 4. 4 cases were diagnosed as suspicious malignancy, 11.1%. Among 41 cases of suspected hepatocarcinoma, 27 patients were examined by AFP priorly and 6 of them showed negative results but they were diagnosed accurately as hepatocarcinoma by the cytologic examination through the fine needle aspiration.