针吸细胞学与针吸组织学联合诊断AFP阴性和低度阳性肝癌
Needle Aspiration Cytologic and Histopathoiogic CO-Diagnosis of Primary Hepatic Carcinoma(PHC) with Negative and Low Grade Positive AFP
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摘要: 本文报道47例AFP阴性和低度阳性PHC,采用内径较大的9号针经皮穿刺一次吸取法,同时作细胞学与组织学检查,两者对照观察,使全组一次检出率达97.9%,总的正确率为100%。为防止穿刺并发症,作者对穿刺针作了改进,并提出了防止瘤细胞沿针道扩散的几点措施。Abstract: This article reported 47 cases of PHC with negative and low grade positive AFP.Once hepatic aspiration was performed percutaneously with a bigger inside diameter N.9.In the same time,the aspirated material was examined cytologically and histopathogically.By correlative observation of all these cases,positive diagnosis in once aspiration reached 97.7%.The overall rate of accuracy in this series was 100%.For the prevention of the complications,the author improved the structure of the puncture needle and offered some procedures to avoid the dispersion of cancer cells along the puncture route.
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