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我校第一医院冉光明等对88例临床疑为卵巢恶性肿瘤和原发性卵巢恶性肿瘤治疗后疑有复发的患者,进行细针穿刺吸引细胞学检查(82例经阴道,6例经腹壁)。其中61例有手术后组织学检查对照,27例未作手术者,有临床治疗后随访结果。最后诊断为卵巢肿瘤50例(恶性38例、良性12例)。 38例卵巢恶性肿瘤中,穿刺检查见恶性肿瘤细胞者35例、良性肿瘤细胞者1例,另2例未见肿瘤细胞,诊断准确率为92.1%。假阴性率为7.9%。 为探讨卵巢肿瘤穿刺后瘤细胞溢出情况,将经手术切除、包膜完整的卵巢肿瘤18例(囊性7例、实性8
Ran Guangming, the first hospital of our school, 88 patients with clinically suspected ovarian cancer and primary ovarian cancer after treatment of suspected recurrence of patients, fine needle aspiration cytology (82 cases of vaginal, 6 cases of abdominal wall ). Among them, 61 cases had postoperative histological examination and control, 27 cases had no operation, and there were follow-up results after clinical treatment. The final diagnosis of 50 cases of ovarian tumors (malignant 38 cases, benign 12 cases). In 38 cases of ovarian malignant tumors, 35 cases of malignant tumor cells were seen by puncture, 1 case of benign tumor cells, and the other 2 cases showed no tumor cells. The diagnostic accuracy was 92.1%. False negative rate was 7.9%. In order to explore the tumor spillage after ovarian tumor puncture, 18 cases of ovarian tumors (cystic 7 cases, solid 8