DIAGNOSIS OF SQUAMOUS-CELL CARCINOMA OF THE LUNG BY SPUTUM CYTOLOGY - WITH SPECIAL REFERENCE TO CORRELATION OF DIAGNOSTIC-ACCURACY WITH SIZE AND PROXIMAL EXTENT OF RESECTED TUMOR

DIAGNOSIS OF SQUAMOUS-CELL CARCINOMA OF THE LUNG BY SPUTUM CYTOLOGY - WITH SPECIAL REFERENCE TO CORRELATION OF DIAGNOSTIC-ACCURACY WITH SIZE AND PROXIMAL EXTENT OF RESECTED TUMOR
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DOI:
10.1002/dc.2840060405
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发表时间:
1990-01-01
影响因子:
1.3
通讯作者:
TATEISHI, R
TATEISHI, R
中科院分区:
医学4区
文献类型:
--
作者:
MATSUDA, M;HORAI, T;TATEISHI, R

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对179例肺鳞状细胞癌进行了痰细胞学检查;134例确诊为阳性。不同肿瘤大小的患者在痰细胞学诊断准确性上无显著差异。在肿瘤近端侵犯主支气管、大支气管或段性支气管的病例中,痰细胞学诊断的准确性明显高于肿瘤近端侵犯限于外周支气管的病例。在肿瘤直径小于等于3cm的病例中,当肿瘤近端扩展到主支气管、大支气管或支气管段时,痰细胞学诊断的准确性明显高于肿瘤近端扩展到亚段或亚段支气管的病例。在位于周围的鳞状细胞癌中,当肿瘤发生在亚节段或亚亚节段支气管时,即使在x线摄影上不明显,也可以通过痰细胞学检测到癌。
Sputum cytology was performed in 179 cases of squamous-cell carcinoma of the lung; 134 cases were diagnosed as positive. There were no significant differences in diagnostic accuracy of sputum cytology between tumors sizes. In cases with tumors extending proximally into the main, lobar, or segmental bronchi, the diangostic accuracy of sputum cytology was significant higher than in cases where the proximal invasion of tumor was limited to the peripheral bronchi. In cases with tumors 3 cm or less in diameter, when tumors extended proximally into main, lobar, or segmental bronchi, the diagnostic accuracy of sputum cytology was significantly higher than in cases with tumors extending proximally into subsegmental or subsubsegmental bronchi. In peripherally located squamous-cell carcinoma, in cases in which the tumor arose in subsegmental or subsubsegmental bronchi, carcinoma could be detected by sputum cytology even when it was roentgenographically occult.