80例甲状腺乳头状癌细针穿刺细胞学诊断分析  

Cytological feature for the diagnosis of the papillary carcinoma of the thyroid in fine-needle aspiration specimens:a study of 80 cases

作　　者：何洁华[1] Alexander R.Chang 梁小曼[1] 郝亚萍[1] 谭宝卿[1] 

机构地区：[1]中山医科大学肿瘤防治中心病理科,广东广州510060 [2]香港中文大学威尔斯亲王医院病理解剖及细胞学系

出　　处：《癌症》2000年第3期271-273,共3页Chinese Journal of Cancer

摘　　要：目的 :探讨甲状腺乳头状癌的细胞学特征。方法 :对 80例甲状腺乳头状癌细针穿刺涂片的观察分析 ,结果 :甲状腺乳头状癌的细胞学特征有 :涂片细胞量丰富 ,细胞边界清楚 ,可呈平铺或乳头状结构 ,细胞核呈毛玻璃样外观 ,可见核内包涵体及核纵沟 ,并可见多核巨细胞 ,砂粒体及胶质成份。结论 :大多数甲状腺乳头状癌在细针穿刺细胞学上可作出明确的诊断 ,在术前对甲状腺结节的诊断及手术方式的选择上有重要的意义。Objective:A detail cytomorphologic analysis about thyroid papillary carcinoma is presentedMethod:Fineneedle aspiration smearsfrom a series of 80 papillary thyroid carcinomas were studiedResults:Thefeatures of thyroid papillary carcinoma included types of abundant cellularity,dense cytoplasm with welldefined cell margins, monolayer sheets and papillary structures,groundglass nuclei, intranuclear cytoplasmic pseudoinclusion, nuclear grooves, multinuclear giant cells, psamomma bodies, and sticky colloidThese were some foam cells in the background in a few casesConclusions:Most of the cases can be exactly diagnosed by fine needle aspirationThe cytologic differential diagnosis of thyroid papillary carcinoma and nodular goiter with epithelial papillary hyperplasia must be noted

关 键 词：甲状腺乳头状癌 甲状腺肿瘤 细胞学诊断 

分 类 号：R736.1[医药卫生—肿瘤]