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本文对41例临床疑为肝癌的病人在B型超声引导下,经定位做肝脏细针穿刺的细胞学涂片检查,一次性穿刺涂片检查的阳性率为87.8％。按细胞形态学特点分型:肝细胞型肝癌21例,占58.3％;胆管型肝癌3例,占8.3％;不能分型的恶性细胞8例,占22.2％;可疑恶性细胞4例,占11.1％。有27例在临床做过AFP检查,其中有6例为阴性,经本次肝脏穿刺细胞学检查确诊为肝癌。
In this paper, 41 cases of suspected clinical liver cancer patients under the guidance of B-mode ultrasound, were positioned to perform cytological smears of fine-needle aspiration, the positive rate of disposable puncture smear examination was 87.8%. According to the morphological features of the cells, there were 21 cases of hepatocellular carcinoma, accounting for 58.3%; 3 cases of biliary hepatocellular carcinoma, accounting for 8.3%; 8 cases of undifferentiated malignant cells, accounting for 22.2%; 4 cases of suspicious malignant cells, accounting for 11.1 %. There were 27 cases of AFP examinations in the clinic, of which 6 cases were negative. After this liver biopsy, it was diagnosed as liver cancer.