中线恶性网织细胞增生症的漏、误诊原因分析  

Analysis on Causes of Missed Diagnosis and Misdiagnosis to MMR

作　　者：万义增 杨京京 

机构地区：[1]锦州铁路中心医院,辽宁锦州121001

出　　处：《实用医技杂志》2003年第11期1237-1238,共2页Journal of Practical Medical Techniques

摘　　要：为了提高对MMR的诊断准确性,减少漏、误诊的发生。对16例近年来诊断或疑诊为恶性肉芽肿的病例进行了回顾性研究;结果显示:在16例中,确诊或疑诊11例,误诊3例,未定诊2例。诊断准确率68.7％。对漏诊、误诊的原因分析如下:①对其组织学形态特征认识不足,缺乏免疫组化检测手段;②活检组织取材不充分,肿瘤细胞过少;③对鼻外MMR认识不足;④未注意与其他易相混淆的疾病相鉴别。To increasing the diagnostic accuracy for MMR and decrease cases of missed diagnosis or misdiagnosis, we retrospectively studied sixteen cases being diagnsoed or with suspected malignant granuloma in recent years. The results showed that there were eleven cases with misdiagnosis and two cases without confirmation. The dignostic accuracy is 68. 7 %. There were main causes of being easy to missed diagnosis or misdiagnosis: (1) in sufficient recognition to the histological characteristic of MMR. deficiency in immunohistochemical measures; (2) the specimen too small or the tumor cells too few; (3) deficient recognition to the MMR except for that in nose; ?taking little interest to differentiation from other easily confused disease.

关 键 词：中线恶性网织细胞增生症 漏诊 误诊 组织学形态 免疫组化技术 鉴别诊断 

分 类 号：R730.4[医药卫生—肿瘤]