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目的:在诊断方法、技术不断进步的情况下,确定恶性肿瘤临床与尸检诊断的不一致率。方法:对本院肿瘤科5年来(1994～1999年)所有尸检进行回顾性研究。结果:共尸检35例,男性24例,女性11例,中位年龄64岁(29～84岁)。35例被尸解的尸体中共发现41个恶性肿瘤,其中10例、16个恶性肿瘤被误诊或漏诊。该10例中6例死亡原因为恶性肿瘤。在本研究中,临床与尸检诊断的不一致率为39%。结论:恶性肿瘤临床与尸检诊断的不一致率依然很高,本结果证实了尸检的重要性。
OBJECTIVE: To determine the inconsistency between clinical and autopsy diagnosis of malignant tumors in the context of diagnostic methods and techniques. Methods: All the autopsies of our hospital oncology department during the past five years (1994 ~ 1999) were retrospectively studied. Results: A total of 35 cases of autopsy, 24 males and 11 females, the median age of 64 years (29 to 84 years old). Forty-one malignant tumors were found in 35 of the dead bodies, of which 10 were malignant and 16 were misdiagnosed or missed. Of the 10 cases, 6 died of malignancy. In our study, the discrepancy between clinical and autopsy diagnosis was 39%. Conclusion: The inconsistency between clinical and autopsy diagnosis of malignant tumors is still high. The results confirm the importance of autopsy.