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形态特征是病理诊断中重要的依据或(和)线索。但是,病理诊断不是简单的按图索骥,而是在综合分析临床资料、大体标本、组织形态等多种变化因素的基础上,再判别轻重、决定取舍,最后以某一种疾病作为结论的复杂思维过程。这就要求病理医生对此过程中的各种因素,特别是光镜下所呈现的形态特征能准确地识别和辩证地认识。否则,即有可能适得其反,被这些“形态特征”导向错误的结论,即所谓“诱导性误诊”。为此,很有必要做深入一步的分析和探讨,本文从实用角度做初步归纳。
Morphological features are important basis or (and) clues in pathological diagnosis. However, pathological diagnosis is not simply based on maps, but on the basis of a comprehensive analysis of clinical data, gross specimens, organizational forms and other changes, and then determine the severity, decide to choose, and finally use a disease as a complex thinking process of conclusions. . This requires the pathologist to accurately identify and dialectically recognize various factors in the process, particularly the morphological features presented under the light microscope. Otherwise, it may be counterproductive, and these “morphological characteristics” lead to wrong conclusions, that is, the so-called “induced misdiagnosis.” For this reason, it is very necessary to do an in-depth analysis and discussion. This article makes a preliminary induction from a practical point of view.