肺恶性肿瘤伴胸腔积液细胞块病理诊断价值  

The value of pulmonary malignant tumor with pleural effusion cells piece of diagnostic

作　　者：杨槐[1] 刘禄[1] 杨娜[1] 李林丰[1] 刘智[1] 夏勤[1] 秦海银 

机构地区：[1]遂宁市中心医院,四川遂宁629000

出　　处：《临床医药实践》2015年第3期233-235,共3页Proceeding of Clinical Medicine

摘　　要：目的:探讨肺恶性肿瘤伴胸腔积液患者运用细胞块制备方法及病理诊断的价值。方法:回顾性分析胸腔积液患者80例,将胸腔积液标本经4℃冷藏过夜后,离心沉淀收集细胞块进行石蜡包埋,HE染色病理诊断或进一步进行免疫组化染色诊断。结果:80例胸腔积液标本可疑恶性肿瘤25例,采用细胞块方法检出恶性肿瘤21例,占84.0%,胸腔积液标本直接涂片法检出恶性肿瘤9例,占36.0%,细胞块法检出率显著高于直接涂片法。结论:胸腔积液标本采用细胞块法可提高检出率。Objective： To discuss pulmonary malignant tumor patients with pleural effusion with cell block preparation and pathological diagnosis value. Methods： retrospectively analyzed in 80 cases of pleural effusion patients,pleural effusion samples after 4 ℃ refrigerated overnight,centrifugal precipitation cell block were collected for paraffin embedding,HE staining immunohistochemical staining diagnosis or further diagnostic pathology. Results： Specimens of 80 cases of pleural effusion suspicious checked out in 25 cases of malignant tumor cell block methods 21 cases of malignant tumors（ 84. 0%）,pleural effusion samples detected with direct smear method 9 cases of malignant tumor,accounting for 36. 0%,cell block method detection rate was significantly higher than that of direct smear method. Conclusion： Hydrothorax specimens using the cell block method can improve the detection rate,has higher application value.

关 键 词：肺恶性肿瘤 胸腔积液 细胞块 病理诊断 

分 类 号：R734.2[医药卫生—肿瘤]