THE USE OF GASTRIC SALVAGE CYTOLOGY IN THE DIAGNOSIS OF MALIGNANCY - A REVIEW OF 731 CASES

被引:16
作者
GREEN, LK
ZACHARIAH, S
GRAHAM, DY
机构
[1] BAYLOR UNIV,DEPT PATHOL,HOUSTON,TX 77030
[2] VET ADM MED CTR,DEPT LAB SERV,HOUSTON,TX 77211
关键词
Adenocarcinom; Biopsy; Endoscopy; Salvage cytolog; Stomac;
D O I
10.1002/dc.2840060102
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
Over an 8‐yr period at the Houston Veterans Hospital, 731 endoscopic gastric salvage cytologies were performed in 671 patients, with surgical biopsy also done in 660. Seventy‐six patients subsequently had tissue biopsy‐proven or resection‐proven malignancies. Salvage cytology had a sensitivity of 91 % and a specificity of 100% for the detection of primary adenocarcinoma. Biopsy alone had a sensitivity of 92%; endoscopic gastric salvage cytology and surgical biopsy combined had a sensitivity of 100% in both primary and metastatic neoplasms. This study shows that the combination of endoscopic biopsy and salvage cytology increases the diagnostic accuracy for gastric carcinoma. Gastric salvage cytology requires minimal disruption of the routine endoscopic procedure and is therefore an easier and more rapid cyfologic technique than gastric brushing cytology. Copyright © 1990 Wiley‐Liss, Inc., A Wiley Company
引用
收藏
页码:1 / 4
页数:4
相关论文
共 20 条
[1]  
Kasugai T, Kobayashi S., Gastrofiberscopic technique for cell collection, Compendium on diagnostic cytology, pp. 492-496, (1976)
[2]  
Prolla JC, Reilly RW, Kirsner JB, Cockerham L., Direct‐vision endoscopic cytology and biopsy in the diagnosis of esophageal and gastric tumors: current experience, Acta Cytol, 21, pp. 399-402, (1977)
[3]  
Young JA, Hughes HE, Three year trial of endoscopic cytology of the stomach and duodenum, Gut, 21, pp. 241-246, (1980)
[4]  
Kasugai T, Kobayashi S., Evaluation of biopsy and cytology in the diagnosis of gastric cancer, Am J Gastroenterol, 62, pp. 199-203, (1974)
[5]  
Graham DY, Spjut HJ, Estrada RG, Directed cytology of the esophagus and stomach. A comparison of 3 rapid collection methods, Gastrointest Endosc, 24, pp. 277-280, (1978)
[6]  
Graham DY, Spjut HJ, Salvage cytology: a new alternative fiberoptic technique, Gastrointest Endosc, 25, pp. 137-139, (1979)
[7]  
Behmard S, Sadeghi A, Bagheri SA, Diagnostic accuracy of endoscopy with brushing cytology and biopsy in upper gastrointestinal tract, Acta Cytol, 22, pp. 153-154, (1978)
[8]  
Qizilbash AH, Castelli M, Kowalski MA, Churly A., Endoscopic brush cytology and biopsy in the diagnosis of cancer of upper gastrointestinal tract, Acta Cytol, 24, pp. 313-318, (1980)
[9]  
Winawer SJ, Posner G, Sightdale CJ, Sherlock P, Melamed M, Fortner JG, Endoscopic diagnosis of advanced gastric cancer: factors influencing yield, Gastroenterology, 69, pp. 1183-1187, (1975)
[10]  
Witzol L, Haeter F, Gretillat PA, Scheurer V, Keller M., Evaluation of specific value of endoscopic biopsies and brush cytology for malignancies of oesophagus and stomach, Gut, 17, pp. 375-377, (1976)