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目的 :探讨甲状腺乳头状癌的细胞学特征。方法 :对 80例甲状腺乳头状癌细针穿刺涂片的观察分析 ,结果 :甲状腺乳头状癌的细胞学特征有 :涂片细胞量丰富 ,细胞边界清楚 ,可呈平铺或乳头状结构 ,细胞核呈毛玻璃样外观 ,可见核内包涵体及核纵沟 ,并可见多核巨细胞 ,砂粒体及胶质成份。结论 :大多数甲状腺乳头状癌在细针穿刺细胞学上可作出明确的诊断 ,在术前对甲状腺结节的诊断及手术方式的选择上有重要的意义。在诊断上要注意与结节性甲状腺肿伴滤泡上皮乳头状增生相鉴别
Objective: To investigate the cytological characteristics of papillary thyroid carcinoma. METHODS: A total of 80 cases of thyroid papillary carcinomas were observed and analyzed. Results: The cytological characteristics of papillary thyroid carcinoma were: abundant smear cells, clear cell borders, and can be tiled or papillary, nucleus Appears in a glassy appearance, showing nuclear inclusion bodies and longitudinal grooves, and multinucleated giant cells, grit bodies, and glial components. Conclusion : Most papillary thyroid carcinomas can be clearly diagnosed in fine needle aspiration cytology. It is of great significance to the diagnosis of thyroid nodules and the choice of surgical methods before operation. Diagnosis should be differentiated from nodular goiter with follicular epithelial papillary hyperplasia