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目的探讨细针吸取组织制作细胞块对甲状腺乳头状癌的诊断价值。方法回顾性分析60例甲状腺乳头状癌患者术前细针吸取组织制作细胞块和术后的临床病理资料。结果本组60例术后明确诊断为甲状腺乳头状癌的患者中,术前细针吸取组织制作细胞块诊断的准确率为95%(57/60)。且术前细针吸取组织制作细胞块的病理表现中,乳头结构出现86.7%(52/60),核的形态出现100%(60/60),胶原纤维出现91.7%(55/60)。结论细针吸取组织制作细胞块能提高甲状腺乳头状癌的诊断准确率,但存在局限性。特有的乳头结构,细胞核形态,胶原纤维是细针吸取组织制作细胞块诊断甲状腺乳头状癌的主要特征。
Objective To investigate the diagnostic value of fine needle aspiration tissue to produce papillary thyroid carcinoma. Methods A retrospective analysis of 60 cases of papillary thyroid carcinoma patients preoperative fine needle aspiration tissue tissue cells and postoperative clinical and pathological data. Results In the group of 60 patients diagnosed as papillary thyroid carcinoma, the diagnostic accuracy of preoperative fine needle aspiration tissue mass was 95% (57/60). Preoperative fine needle aspiration tissue production of cell mass pathology, the nipple structure appeared 86.7% (52/60), nuclear morphology appeared 100% (60/60), collagen fibers 91.7% (55/60). Conclusion Fine needle aspiration tissue production cell mass can improve the diagnostic accuracy of papillary thyroid carcinoma, but there are limitations. Unique papillary structure, nuclear morphology, collagen fibers are fine needle aspiration tissue production cell block diagnosis of thyroid papillary carcinoma of the main features.