摘要
目的探讨甲状腺癌术中冰冻切片的诊断要点,提高术中冰冻切片的诊断水平。方法对我院206例甲状腺疾病中冰冻切片并经石蜡切片证实的41例甲状腺癌的病理资料进行回顾分析。结果41例甲状腺癌冰冻切片38例术中确诊,1例误诊为甲状腺不典型腺瘤,1例高度疑为乳头状癌而延迟诊断,1例因肿物钙化明显无法冰冻制片而漏诊。结论甲状腺癌术中冰冻切片诊断漏诊和过诊都可能导致严重的后果,术前了解病史,取材全面细致,掌握各型甲状腺癌的镜下特征,并由两位经验丰富的病理医师共同诊断是提高甲状腺癌冰冻切片病理诊断准确性的关键。
Objective To investigate the diagnosis points of thyroid carcinoma by freezing slice of tissue from operation, in order to improve the diagnosis ability. Methods To analyze the pathological data by reviewing thyroid freezing tissue slices of 206 cases in which 41 cases were confirmed thyroid carcinoma. Results 38 from dl cases thyroid carcinoma were diagnosed by freezing tissue slices in operation; one case was diagnosed atypical thyroid adenoma by mistake ; one case was suspected to be papilla carcinoma so the diagnosis was delayed ; and one case didn＇t be diagnosed because the tissue was calcified and freezing tissue slices didn＇t be made. Conclusions Thyroid carcinoma of freezing tissue slices needs responsibility. Under diagnosis or over diagnosis can lead to losses, so we should view the history of cases ; make slices from the tissues wholly and carefully ; and grasp the microscopic characters of every type thyroid carcinoma; we gave the diagnoses by two experienced pathologists together. These are the key points to improve the pathological diagnoses of thyroid carcinoma by freezing tissue slices.
出处
《肿瘤基础与临床》
2006年第3期235-236,共2页
journal of basic and clinical oncology
关键词
冰冻组织切片
术中诊断
甲状腺癌
freezing tissue slices
diagnosis in operation
thyroid carcinoma
