摘要
本文收集了珠海地区最近七年内总共５４例恶性胸水病例。从本地区恶性胸水发病趋势以及形态学观察得出结论：１．本地阳性胸水高发组在５０～７９岁（＞８５％）；２．特高发组（６０～６９岁）中存在着显著的性别上的差异，男女之比为１：１０。女性占有绝对的性别优势；３．５４例阳性胸水中腺癌占９０．７％（４９例），鳞癌占５．６％（３例），未分化癌占３．７％（２例）；４．阳性胸水中不但见到癌细胞脱落，还可以观察到癌组织的脱落，后者仅见于腺癌一类中，甚而可以见到正常胸膜组织脱落；５．对高分化小细胞性腺癌中粘液性印戒细胞癌应与间皮细胞增生时印戒样变鉴别诊断；６．对血性或非血性胸水沉渣作组织切片应列为常规诊断，方法学上的对比研究可以互补不足，尤其在追踪不典型高分化腺癌，间皮细胞不典型增生等鉴别诊断与确诊上，有实质性的意义。
cases malignant pleural effusion that taken place recently 7 year in the Zhuhai region were collected in this paper. Drawing conclusionscome from those attack trend & morphological observation: 1. The high attack group age in positive cases is between 50 and 79 yrs (>85% ). 2. there is an obvious difference in sexual distinction for the special high attack group (60-69 yrs).A ratio of male & female is one to ten. 3. Adenocarcinoma occupay 90. 7 percent (49 cases), squamous carcinoma occupay 5. 6 percent (3 cases), undifferentiation carcinoma occupay 3. 7 percent (2 cases). 4. Not only dropping cancer cells but cancer organization may be observed, later is only in the adenocarcinoma cases.Sometimes dropping normal pleura tissue also may be seem. 5. The mucinous signet-ring cancer cells in high differentiation small cell adenocarcinoma should be differential diagnosis from mesothelium signet-ringoid change. 6. Sediment that being in hematoid or non-hematoid pleural effusion both should be made paraffin section as a routine diagnosis. This comparison study on method may help each other for accurate diagnosis.
出处
《肿瘤防治研究》
CAS
CSCD
北大核心
1996年第3期185-186,共2页
Cancer Research on Prevention and Treatment
关键词
胸部肿瘤
细胞学诊断
恶性胸水
水胸
Female
High attack
Adenocarcinoma
Dropping
Differential diagnosis
