宫淋巴腺病变:对接受切割活检的患者进行回顾性单中心分析
Serdal Celik1,2, Berina Slipcevic1,2, Emirhan Ceviken1,2
1Department of Otorhinolaryngology and Head and Neck Surgery Istanbul Medeniyet University, Faculty of Medicine, Istanbul, Türkiye.
概括
精细针吸收活检 (FNAB) 可以错过宫淋巴腺病的淋巴瘤诊断,特别是在老年患者. 建议在怀疑恶性瘤或淋巴增殖性疾病时进行切除活检.
科学领域:
- 在瘤学瘤学.
- 诊断成像 诊断成像 诊断成像
- 病理学 病理学 病理学
背景情况:
- 宫淋巴腺病是一种常见的临床表现.
- 准确的诊断对于适当的患者管理至关重要.
- 存在各种不同的诊断模式,每个都有局限性.
研究的目的:
- 为了比较宫超声波,细针吸收活检 (FNAB) 和切除活检的诊断准确性.
- 在研究人群中确定宫淋巴腺病变的最常见原因.
- 评估FNAB在诊断淋巴瘤中的实用性.
主要方法:
- 对137名患有宫淋巴腺病的患者进行了回顾性分析.
- 所有患者在切除活检之前都接受了宫超声波和FNAB.
- 分析了人口统计数据,成像发现,FNAB结果和切除活检病理学.
主要成果:
- 66名患者 (48.2%) 诊断出恶性病理.
- 非霍奇金淋巴瘤 (NHL) 和霍奇金淋巴瘤分别占病例的27.7%和13.1%.
- 在66个恶性病例中,FNAB在57个病例中产生了非诊断或可疑的结果,在淋巴瘤诊断中出现了假阴性率.
结论:
- 宫超声波和FNAB在诊断淋巴瘤方面存在局限性.
- 在怀疑恶性瘤时,建议进行切除活检,特别是在40岁以上的患者中.
- 在淋巴瘤诊断和分期中,FNAB可能增加了虚假阴性率.
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