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目的对11例腺样囊性癌病例进行细针吸取细胞学检查,并分析细胞形态学特点,以取得诊断和鉴别诊断的经验。方法11例均经外科手术切除和组织学证实,将其细胞学结果和形态表现与组织学对比分析。结果11例中男性6例,女性5例;8例发生于腮腺,颌下腺与舌下腺各1例,另1例发生于气管。发现球团状排列的上皮细胞团伴有多量的粘多糖基质是其细胞学形态特征,相当于组织学上的筛状排列的结构,细胞学结果是可靠的,但必须与涎腺的多形性腺瘤相鉴别。结论细胞学对腺样囊性癌的诊断结论是准确的,同时对其形态学的研究,可望对涎腺外的腺样囊性癌作出准确的诊断
Objective To study the fine needle aspiration cytology in 11 cases of adenoid cystic carcinoma and to analyze the morphological characteristics of the cells in order to obtain the diagnosis and differential diagnosis experience. Methods All 11 cases were confirmed by surgical resection and histology. The cytological results and morphological findings were compared with those of histology. Results Of 11 cases, 6 were male and 5 were female. Eight cases occurred in the parotid gland, one in the submandibular gland and the sublingual gland, and the other in the trachea. It was found that the mass of mucopolysaccharide associated with the mass of mucopolysaccharide-aggregated epithelial cell mass is characteristic of histological sieve-like arrangement. Cytological results are reliable but must be related to polymorphism of salivary glands Sexual adenoma phase identification. Conclusion cytology diagnosis of adenoid cystic carcinoma is accurate, at the same time its morphological study, is expected to make an accurate diagnosis of adenoid cystic carcinoma outside the salivary gland