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甲状腺细针穿刺细胞学误诊及漏诊的临床病理分析 被引量:3
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作者 华威 李嘉瑶 +5 位作者 王超萃 戚基萍 朱宏 鹿芃恬 吴鹤 刘微 《哈尔滨医科大学学报》 CAS 2020年第6期606-611,共6页
目的探讨甲状腺细针穿刺(FNA)细胞学诊断价值,并对良、恶性病变误诊及漏诊进行分析。方法回顾性分析1 188例甲状腺细针穿刺细胞学诊断结果,评估各项诊断效能(敏感性、特异性、准确性等相关诊断指标)。将细胞学结果与组织学结果对照,分... 目的探讨甲状腺细针穿刺(FNA)细胞学诊断价值,并对良、恶性病变误诊及漏诊进行分析。方法回顾性分析1 188例甲状腺细针穿刺细胞学诊断结果,评估各项诊断效能(敏感性、特异性、准确性等相关诊断指标)。将细胞学结果与组织学结果对照,分析误诊及漏诊的原因。结果细针穿刺细胞学诊断的敏感性为97.75%,特异性78.95%,阳性预测值95.60%,阴性预测值88.24%,准确性94.44%,误诊率5.48%。细胞学诊断误诊8例,漏诊4例,结节部位、穿刺手法,病灶纤维化、钙化、囊性变等因素导致具有诊断价值细胞获取的多少以及制片质量的优劣是细胞学误诊、漏诊的主要原因。结论细针穿刺细胞学对于甲状腺结节的判读存在一定的误诊和漏诊,联合应用基因检测和免疫细胞化学可以辅助诊断,进一步提高诊断准确率。 展开更多
关键词 细针穿刺 细胞学 甲状腺结节 甲状腺癌
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Hyalinizing trabecular tumor and papillary carcinoma of the thyroid 被引量:7
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作者 ZHU Hong qi ji-ping +2 位作者 WANG Ying-wei SONG Yue-jia ZHANG Zhi-yi 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第20期2832-2835,共4页
Background Hyalinizing trabecular tumor (HTT) is a rare thyroid neoplasm, which shares some histologic features with thyroid papillary carcinoma (TPC). Clinically, it is frequently misdiagnosed as papillary carcin... Background Hyalinizing trabecular tumor (HTT) is a rare thyroid neoplasm, which shares some histologic features with thyroid papillary carcinoma (TPC). Clinically, it is frequently misdiagnosed as papillary carcinoma, even for some experienced pathologists. The aim of this study was to investigate whether HTT is variant of TPC or HTT is an independent entity of thyroid neoplasm.Methods The expression of CK19, galectin-3, HBME-1 and MIB-1 was detected by immunohistochemical staining in 12 cases of hyalinizing trabecular tumor and 20 cases of thyroid papillary carcinoma.Results Two of the 12 HTT samples were positive or focally positive for CK19. Four of the 12 samples of HTT presented positive to galectin-3; 3 were stained strongly and the other one was focally positive. None of the 12 samples of HTT was positive for HBME-1. Five in 12 HTT samples were stained in nucleus for MIB-1. Almost all the 20 cases of thyroid papillary carcinoma were intensely stained for CK19, galectin-3 and HBME-1. Fifteen in 20 cases of thyroid papillary carcinoma showed nuclear staining for MIB-1.Conclusions HTT is an independent thyroid neoplasm, not a variant of TPC. This study could help in the differential diagnosis of HTT from TPC. CK19, galectin-3 and HBME-1 are adequate to identify HTT and TPC, but MIB-1 does not play an important role in discrimination between HTT and TPC. 展开更多
关键词 hyalinizing trabecular tumors papillary carcinoma pathological features IMMUNOHISTOCHEMISTRY
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Expression of thrombin and its associated protein in cerebellum of human and rat after intracerebral hemorrhage 被引量:5
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作者 ZHANG Zhi-yi qi ji-ping +4 位作者 ZHU Hong SONG Yue-jia WU He JIA Ying ZHANG Guang-mei 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第15期2077-2081,共5页
Background Intracerebral hemorrhage (ICH) can cause brain damage through a number of pathways.The purpose of the study was to explore the effect of thrombin, protease nexin-1 (PN-1) and protease activated receptor... Background Intracerebral hemorrhage (ICH) can cause brain damage through a number of pathways.The purpose of the study was to explore the effect of thrombin, protease nexin-1 (PN-1) and protease activated receptor-1 (PAR-1) in rat and human cerebellum after ICH.Methods A model of ICH was produced in adult Sprague-Dawley rats by direct injection of autologous blood (50 μl) into caudate nucleus.Patients with injured hemorrhage were also enrolled in this study.Different expressions of thrombin,PAR-1, PN-1 were detected in rat and human cerebellum by immunohistochemistry and in situ hybridization.Results In rat cerebellum, thrombin protein significantly increased at 6 hours and reached the maximum 2 days afterICH.The expression of PAR-1 protein reached the maximum at 24-48 hours, and then began to decrease.The expression of PN-1 protein reached the maximum at 3 hours, decreased somewhat after that and increased a little at 5days after ICH.While in human cerebellum, the changing tendency of thrombin, PAR-1 and PN-1 was almost conform to the rat.Conclusion In cerebellum, thrombin can activate PAR-1 expression after ICH, and PN-1 appears quickly after ICH in order to control the deleterious effect of thrombin. 展开更多
关键词 CEREBELLUM THROMBIN protease nexin-1 protease activated receptor-1 intracerebral hemorrhage
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Primary cardiac hemangioendothelioma: a case report 被引量:1
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作者 WANG Li-feng LIU Ming +6 位作者 ZHU Hong HAN Wei HU Cheng-yi qi ji-ping MEI Huan-lin GE Re-le ZHOU Min 《Chinese Medical Journal》 SCIE CAS CSCD 2006年第11期966-968,共3页
Primary cardiac hemangioendothelioma is extremely rare.1-3 Up to now less than twenty cases have been reported in English literature, the data about this kind of cardiac tumors are scanty. In this report, a case of a ... Primary cardiac hemangioendothelioma is extremely rare.1-3 Up to now less than twenty cases have been reported in English literature, the data about this kind of cardiac tumors are scanty. In this report, a case of a huge hemangio-endothelioma that arose from the right atrium and was successfully resected is presented. 展开更多
关键词 cardiac neoplasms HEMANGIOENDOTHELIOMA IMMUNOHISTOCHEMISTRY
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