ACCURACY OF BRONCHIAL ASPIRATION CYTOLOGY IN TYPING OPERABLE (STAGE I-II) PULMONARY CARCINOMAS

被引:10
作者
BARBAZZA, R
TONIOLO, L
PINARELLO, A
SCAPINELLO, A
FALCONIERI, G
DIBONITO, L
机构
[1] Department of Anatomic Pathology, University of Trieste
[2] Department of Endoscopy, City Hospital, Castelfranco Veneto, San Giacomo Apostolo
关键词
LUNG CARCINOMA; CYTOLOGY; HISTOLOGY; GRADING; STAGING;
D O I
10.1002/dc.2840080103
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
The accuracy of bronchial aspiration cytology in typing resectable (stage I-II) lung cancer has been investigated in 100 cases, comparing preoperative cytologic features with pulmonary tumor histology seen at surgery. The accuracy has been 100% for small-cell carcinoma (two cases), 98.8% for squamous-cell carcinoma (86 cases), and 91.6% for adenocarcinoma (12 cases). The overall accuracy rate has been 98%. No case of undifferentiated large-cell carcinoma has been identified. It is suggested that the high accuracy in cytologic typing of operable lung cancer is basically related to adequate preservation of differentiation features, thus allowing for correct identification of most non-small-cell carcinoma. Moreover, the absence in this study of any large-cell carcinoma, compared with its frequency in advanced stage series, would indicate that such a histotype reflects excessive dedifferentiation of an original squamous or glandular form.
引用
收藏
页码:3 / 7
页数:5
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