• 作者： 楊思標
• 作者服務機構： 國立臺灣大學醫學院
• 中文摘要： 以七二例手術切除組織或器官和一一三例活體切片組織共一八五例檢體做復按塗片細胞檢驗，全部檢體分別以 Papanicolaou 氏染色法和劉氏染色法染色，然後與其病理組織學的診斷相比較來判斷其正確性，將二例細胞學診斷為疑陽性除外，其餘一八三例之診斷結果，若僅就良性與惡性之判別而言，其診斷正確率高達 95.1%（174∕183），八六例病理組織學診斷為良性病變中有六（7.0%）發生偽陽性，九七例惡性贅瘤中三例（3.0%）發生偽陰性，再者，九七例惡性贅瘤中除去三例偽陰性及九例病理組織學未能分類者外，對其餘八五例所做組織型分類的一致率是 84.7%（72∕85）。若採用劉氏染色法或 Harris-Shorr 染色法，則從採取標本至獲得診斷所需時間不出十分鐘。此種復按塗片細胞檢驗所需設備簡單，操作方便，診斷迅速，而且準確性又相當高，在缺乏病理專科醫師的醫院，可用以代替凍結切片法做手術中之即時診斷，因此值得加以推廣應用。
• 英文摘要： Stamp smear cytology was examined onthe tissues obtained from 185 surgical speci-mens including 113 biopsies and 72 resectedorgans. Both Papanicolaou stain and Liu's st-ain were. used for the cytodiagnosis. The cy-todiagnosis was compared with the diagnosisof histological examination as reported by thepathologists. With respect to differentiated malignancyfrom benign lesion the reliability of cytodiag-nosis was 95.1% (174/183) ; two casesdiagnosed as suspicious were excluded fromthis evaluation. A false positive rate of 7.0%(6/86) and false negative rate of 3.0% (3/97) were obtained. As for the accuracy ofdiagnosis on the histological type, if 9 casesof unclassified cancer and 3 false negativecases were excluded, a corresponding diag-nosis was observed in 84.7% (72/85). The stamp smear cytology takes less than10 minutes for processing if Liu's stain orHarris-Shorr stain was employed. Althoughit can not replace the histological sectiondiagnosis, the stamp cytology examination a-ppears as a simple and reliable diagnosticmethod worthy to be recommended in the ho-spital where the frozen section is not avai-lable in the operation room.
• 中文關鍵字： --
• 英文關鍵字： --