针吸细胞学诊断颗粒细胞瘤四例并文献复习  

Study on fine-needle aspiration cytology in the diagnosis of 4 cases of granular cell tumor and literature review.

作　　者：王飞[1] 龚萍[2,3] 蔡玲玲[1] 何钒[1] 刘静[1] 

机构地区：[1]三峡大学病理学研究所宜昌市中心人民医院病理科,湖北宜昌443003 [2]三峡大学人民医院 [3]宜昌市第一医院检验科,湖北宜昌443000

出　　处：《海南医学》2013年第17期2623-2625,共3页Hainan Medical Journal

摘　　要：目的探讨颗粒细胞瘤的针吸细胞学特点、鉴别诊断及其在临床诊断中的意义,提高细胞病理医师对该肿瘤的认识并减少误诊。方法收集我院经针吸细胞学检查并有病理组织学检查诊断对照的4例病例,并复习相关文献资料,对其临床表现及针吸细胞学特点进行分析、总结。结果 4例针吸细胞学检查具有一定的镜下形态学特点,结果与病理组织学结果基本一致,未出现假阳性病例。结论针吸细胞学可以作为颗粒细胞瘤的一种形态学检查方法,而术后病理组织学诊断仍是颗粒细胞瘤诊断不可替代的金标准。Objective To investigate the traits of fine-needle aspiration cytology （FNAC）, analyze its value in the differential diagnosis and clinical diagnosis of granular cell tumor （GCT）, in order to reduce misdiagnosis and improve the understanding of the disease. Methods Four cases of GCT applying FNAC diagnosis and histopatholog- ic examination in our hospital were analyzed in terms of clinical manifestation and FNAC traits. The related literature was reviewed. Results FNAC of the 4 patients presented a certain morphologic features, basically consistent with the results of histopathologic examination. No case of false positive was found. Conclusion FNAC diagnosis can be served as means of morphological checkup for GCT, although histopathological diagnosis is not replaceable yet for GCT identification.

关 键 词：颗粒细胞瘤 针吸细胞学 鉴别诊断 

分 类 号：R730.269[医药卫生—肿瘤]