论文部分内容阅读
目的探讨针吸细胞学涂片对非霍奇金淋巴瘤研究的临床价值。方法复查2008年12月-2012年12月,来蚌埠医学院第一附属医院进行针吸细胞学检查的门诊及住院患者的针吸涂片,根据非霍奇金淋巴瘤细胞学特点,并与组织病理对照,对诊断结果进行分析。结果共查出非霍奇金淋巴瘤126例,其中滤泡中心淋巴瘤42例,占33.3%(42/126)。套细胞淋巴瘤40例,占31.8%(40/126)。弥漫性大B细胞淋巴瘤21例,占16.7%(21/126)。浆母细胞性淋巴瘤11例,占8.7%(11/126)。间变性大细胞淋巴瘤7例,占5.6%(7/126)。曲核细胞淋巴瘤5例,占4.0%(5/126)。结论通过对非霍奇金型淋巴瘤细胞,进行反复对比和形态特征等分析,发现各型非霍奇金淋巴瘤细胞是由B细胞和T细胞通过不同转化途径而形成,且具有各自细胞特征及相互演变的过度形。加深了对各型非霍奇金淋巴瘤细胞的识别能力,有助于临床诊断治疗,及预后观察。
Objective To investigate the clinical value of needle aspiration cytology in the study of non-Hodgkin’s lymphoma. Method review December 2008 - December 2012, to Bengbu Medical College First Affiliated Hospital for needle aspiration cytology of outpatient and inpatient needle aspiration smear, according to non-Hodgkin’s lymphoma cytology, and with Histopathological control, the diagnosis of the results were analyzed. Results A total of 126 cases of non-Hodgkin’s lymphoma were found, including 42 cases of follicular center lymphoma (33.3%, 42/126). Mantle cell lymphoma in 40 cases, accounting for 31.8% (40/126). Diffuse large B cell lymphoma in 21 cases, accounting for 16.7% (21/126). Eleven cases of plasmablastic lymphoma, accounting for 8.7% (11/126). Anaplastic large cell lymphoma in 7 cases, accounting for 5.6% (7/126). 5 cases of karyoid lymphoma, accounting for 4.0% (5/126). Conclusion By analyzing non-Hodgkin’s lymphoma cells repeatedly and analyzing morphological characteristics, it is found that each type of non-Hodgkin’s lymphoma cells are formed by different transformation pathways of B cells and T cells and have their own cell characteristics And the mutual evolution of the over-shaped. Deepen the recognition of various types of non-Hodgkin’s lymphoma cells, contribute to clinical diagnosis and treatment, and prognosis.