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目的检测胸腹水中恶性肿瘤细胞,探讨其临床诊断及应用价值。方法临床抽取胸腹水730例立即送检,取沉渣涂片2～4张,HE染色制片,镜检。结果在730例胸腹水脱落细胞学检查中检出恶性肿瘤细胞136例,其中腺癌124例(91.2%),鳞癌4例,未分化癌4例,淋巴瘤2例,恶性间皮瘤1例,肉瘤1例。结论胸腹水脱落细胞学检查简便、准确,其恶性肿瘤细胞大多为腺癌,主要来源于肺、卵巢及胃肠道。
Objective To detect malignant tumor cells in ascites and pleural effusions and to explore its clinical diagnosis and its application value. Methods Seventy-five patients with pleural effusion and ascites were clinically taken for immediate examination, 2 to 4 smears of sediment were taken and stained with HE for microscopic examination. Results In 730 cases of malignant pleural effusion cytology, 136 cases of malignant tumor cells were detected, including 124 cases of adenocarcinoma (91.2%), 4 cases of squamous cell carcinoma, 4 cases of undifferentiated carcinoma, 2 cases of lymphoma, 2 cases of malignant mesothelioma Cases, sarcoma in 1 case. Conclusion Ascites and effusion cytological examination is simple and accurate, most of its malignant cells are adenocarcinoma, mainly from the lung, ovary and gastrointestinal tract.