针吸细胞学在鼻咽癌淋巴结转移中的应用  

The application of needle aspiration cytology in the nasopharyngeal carcinoma metastasis to lymph nodes.

作　　者：叶见波[1] 黄谟婉[1] 卢军营[1] 

机构地区：[1]广西壮族自治区人民医院病理科,广西南宁530021

出　　处：《中外医学研究》2010年第6期21-22,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的总结鼻咽癌（NPC）淋巴结转移细针吸取细胞学特点及其鉴别诊断，以提高诊断的正确性。方法对168例鼻咽癌淋巴结转移针吸细胞学诊断与活检诊断作对照。结果针吸细胞学在鼻咽癌淋巴结转移中的敏感性为95．83％；在全部168例中，误诊为淋巴瘤3例，淋巴结结核2例，反应性增生2例。结论针吸细胞学可以对鼻咽癌颈部淋巴结转移做出准确诊断，但应该做到多点针吸或多次针吸使标本满意，并结合临床资料，免疫细胞化学可以作为淋巴瘤细胞学诊断的辅助手段。Objective To sum up the character of the fine needle aspiration cytology on nasopharyngeal carcinoma metastasis to lymph nodes and raise accuracy of diagnosis. Methods All 168 cases were reviewed and analyzed the feature of cytology in smear and differential diagnosis, then they were contradistinguished the cytology diagnosis and histology diagnosis. Results The sensitivity of Needle Aspiration Cytology in the nasopharyngeal carcinoma metastasis to lymph nodes 95.83%. Of all 168 cases ,3 cases were incorrectly diagnosed as lymphoma,2 cases was incorrectly lymph node reactive hyperplasia,2 cases were incorrectly tuberculosis lymphadenitis. Conclusion Fine Needle Aspiration Cytology may work well to precisely diagnose nasopharyngeal carcinoma metastasis. In order to obtain satisfied samples, it is highly recommended that these samples should be aspirated at muhiple locations and repeatly aspirated,make best use of other clinical materials. Immunocytochemistry can become a auxiliary method in cytology diagnosis.

关 键 词：鼻咽癌 淋巴结转移 针吸细胞学 

分 类 号：R737.904[医药卫生—肿瘤]