中国肺癌杂志2017，Vol.20Issue(6)：395-401,7.DOI:10.3779/j.issn.1009-3419.2017.06.05
胸腔积液沉淀物在恶性胸腔积液诊断中的临床应用价值
Clinical Value of Cell Block in the Diagnosis of Malignant Pleural Effusion
王欣同 1程方圆 1钟殿胜 1张丽沙 1孟凡路 1邵宜 1于涛1
作者信息
- 1. 300052 天津,天津医科大学总医院肿瘤科
- 折叠
摘要
Abstract
Background and objective Malignant pleural effusion (MPE) is due tumor which arises from the me-sothelium or metastases from tumor origniating other sites. Generally, the prognosis of MPE is poor, in the premise of reduc-ing the pain of patients, as soon as possible make clear the property of pleural effusion and cause of the disesease, rightly and quickly, providing effective information for subsequent treatment. Methods The cell block of 103 patients by using natural sedimentation or plasma coagulation method combined with HE staining and immunohistochemical staining method maked clear diagnosis and compared with other methods. Results 90 patients were diagnosed by cell block section from 103 patients who had MPE (diagnostic rate 87.4%); 32 cases were diagnosed by cell block section only, 74 cases pointed out that the patho-logical type , 23 cases even pointed out the primary lesions; 71 cases examined other invasive methods at the same time, the di-agnostic rate was 87.3% and 81.7%; the detection rate of cell block section and cytological smear in detecting malignant tumor cells was 86.7%and 44.0% respectively. Conclusion Cell block can not only increase the diagnosis, in contrast to cytological smear, and own the same diagnostic rate compared with other invasive methods, but also can confirm pathological type and primary lesion; especially, for other invasive methods, cell block method is a preferable complementary method, and that cell block method maybe the only way for some patients.关键词
恶性胸腔积液/自然静止法/血液凝集法/免疫组化染色/临床价值Key words
Malignant pleural effusion/Natural sedimentation/Plasma coagulation method/Imunohistochemical staining/Clinical value引用本文复制引用
王欣同,程方圆,钟殿胜,张丽沙,孟凡路,邵宜,于涛..胸腔积液沉淀物在恶性胸腔积液诊断中的临床应用价值[J].中国肺癌杂志,2017,20(6):395-401,7.
