越铁医院体腔液细胞学技术中细胞阻滞和细胞涂片技术的评价

N. T. Huong, Nguyen Thi Trinh, P. V. Hung, Nguyen Thi Tu Linh
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摘要

背景/目的:评价细胞阻断(CB)和细胞涂片(CS)技术在体腔液细胞学诊断中的应用价值。方法:对越堤医院106例患者的解剖结果进行横断面描述性研究。结果:标本以胸腔液为主,占73.6%,以粉红色液体为主(46.2%),每个标本取液量以201 ~ 250 ml为主(53.8%)。通过CB、H&E染色、免疫组化鉴定49例肿瘤,以腺癌居多,占87.8%。在细胞阻滞技术上,所有腺癌标本细胞核大,核质比增大,90%以上有腺状结构,80%以上染色质粗糙,细胞核清晰,肿瘤周围有间隙。结论:CB技术与CS技术的细胞学结果比较,CB技术具有更高的诊断价值。
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Evaluating cell block and cell smear technique in the body-cavity fluids cytology technique at Viet Tiep Hospital
Background/Purpose: To evaluate cell block (CB) and cell smear (CS) techniques in the diagnostic cytology of body-cavity fluids. Methods: The cross-sectional descriptive study was conducted based on the anatomical results of 106 patients of Viet Tiep Hospital Results: Most of the samples were pleural fluid, accounting for 73.6%, pink fluid was the main color (46.2%), and the amount of fluid taken from each specimen was mostly from 201 - 250 ml (53.8%). Through CB, staining H&E, and immunohistochemistry, we identified 49 cancer cases, most of which were adenocarcinomas accounting for 87.8%. On the cell block technique, all adenocarcinoma samples have large cell nuclei, increased nucleus/cytoplasmic ratio, over 90% have glandular structure, over 80% of chromatin is crude, the nucleus is clear and there is space around the tumor. Conclusion: Comparing the results of cytology between CB and CS techniques shows that CB has a higher diagnostic value.
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