提高资源利用率:轴心淋巴结核活检对淋巴瘤进行选
Carl Dernell1, John Astle1, Abraham Bogachkov2
1Departments of Pathology, Medical College of Wisconsin, Milwaukee, WI, US.
American journal of clinical pathology
|April 9, 2024
概括
在乳腺癌查中,血液病理学资源被过度利用用于下淋巴结核心活检 (AxLNCB). 使用患者特征的预测工具可以优化这些活检的资源配置.
科学领域:
- 病理学 病理学 病理学
- 在瘤学瘤学.
- 诊断成像 诊断成像 诊断成像
背景情况:
- 轴心淋巴结核心活检 (AxLNCB) 在乳腺癌分期中至关重要.
- 血液病理学咨询通常用于AxLNCB的解释.
- 血液病理学参与的必要性和程度需要评估.
研究的目的:
- 评估AxLNCB标本的血液病理学资源的利用情况.
- 为了确定影响AxLNCB血液病理学咨询的因素.
- 为了确定AxLNCB中血液性恶性瘤的实际患病率.
主要方法:
- 在30个月内对594个AxLNCB标本进行了回顾性审查.
- 血液病理学资源利用的分析 (分类,审查).
- 对患者人口统计和放射特征的图表审查.
主要成果:
- 61.6%的AxLNCB是良性的,38.6%是恶性的.
- 只有9.3%的恶性病例患有血液性恶性病.
- 94%的病例被分类为淋巴瘤,81%由血液病理学家审查.
- 六个因素预测了血液恶性瘤的风险:男性性别,双边淋巴结核病,扩散皮质加厚,缺乏乳腺癌,年龄较大,以及先前的血液恶性瘤史.
结论:
- 观察到AxLNCB的血液病理学资源的大量过度使用.
- 基于临床参数的预测工具可以优化血液病理学咨询.
- 改善资源配置可以提高评估AxLNCB的效率.
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