Thyroid cytology and histology.

Thyroid cytology and histology.
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甲状腺细胞学和组织学。

DOI:
10.1053/beem.2000.0102
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发表时间:
2000
期刊:
Bailliere's best practice & research. Clinical endocrinology & metabolism
影响因子:
--
通讯作者:
J. Oertel
J. Oertel
中科院分区:
--
文献类型:
--
作者:
Y. Oertel;J. Oertel

文献摘要

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细针抽吸(FNA)是一种经济的方法,可以迅速评估甲状腺肿块。仔细注意抽吸的每一步都能获得好的标本。细胞病理学家应获得抽吸物,否则应陪同临床医生进行抽吸。不满意的样品应占总数的5%以下。乳头状癌、髓样癌、间变性癌、慢性淋巴细胞性甲状腺炎、良性囊性病变和常见的富含胶体的腺瘤样结节可作出可靠的诊断。滤泡性肿瘤和一些细胞性腺瘤样结节的诊断仍然存在疑问。因此,一些甲状腺手术不可避免地会产生良性滤泡病变。
Fine needle aspiration (FNA) is an economical procedure that allows prompt evaluation of a thyroidal mass. Careful attention to each step of the aspiration will allow good specimens to be obtained. The cytopathologist should obtain the aspirates or else should accompany the clinician performing the aspirations. Unsatisfactory specimens should constitute less than 5% of the total. Reliable diagnoses can be made of papillary carcinoma, medullary carcinoma, anaplastic carcinoma, chronic lymphocytic thyroiditis, benign cystic lesions and the usual colloid-rich adenomatoid nodules. The diagnosis of follicular neoplasms and some cellular adenomatoid nodules remains problematical. Therefore, some thyroid operations inevitably yield benign follicular lesions.