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目的探讨前列腺穿刺活检小标本的准确病理学诊断分类。方法对10例前列腺穿刺活检小标本行常规病理学检查、研究、分析。结果良性前列腺组织7例,前列腺癌3例。结论由于穿刺标本不能提示病变全貌,对非特异性、非癌前列腺病变及低级别上皮内瘤的报告要慎重;对前列腺癌的分级评分不仅要考虑组织结构,而且要考虑细胞核的形态。我们取Gleason分级系统与WHO分级系统两者的优点相加,用于穿刺活检小标本中前列腺癌的分级评分较为全面而实用。
Objective To investigate the accurate pathological diagnosis of prostate biopsy specimens. Methods 10 cases of prostatic biopsy specimens were routinely pathologically examined, studied and analyzed. Results There were 7 cases of benign prostatic tissue and 3 cases of prostate cancer. Conclusion As the puncture specimen can not show the whole picture of the lesion, we should be cautious about the reports of nonspecific, non-cancerous prostatic lesions and low-grade intraepithelial neoplasia. The graded score of prostate cancer should not only consider the structure of the tissue, but also the morphology of the nucleus. We add the advantages of both the Gleason grading system and the WHO grading system, and the graded scoring for prostate cancer in small biopsy specimens is more comprehensive and practical.