门诊手术多属小手术,以良性病变居多,一般说,术前诊断多已明确,因而有些不做病理检查,只有少数诊断不清或疑为恶性者方做病检。我院1987—1989年门诊手术399例次,做病理检查者仅138例次,占34.5%。那么,此举得失如何?尚有哪些思疑?现以我院收治首次门诊手术失检病理的恶性肿瘤患者两例,进行临床分析。病例1:谷××,女,61岁。1955年左耳垂下有一黄豆大黑色肿物,无不适感,1975年增长至小指肚大,奇痒难忍。1978年6月在当地卫生 Outpatient surgery is mostly minor surgery, mostly benign lesions, generally speaking, preoperative diagnosis is more clear, so some do not do pathological examination, only a small number of patients with unclear or suspected malignant diagnosis. In our hospital from 1987 to 1989, there were 399 cases of outpatient surgery and only 138 cases of pathological examinations, accounting for 34.5%. Then, what are the advantages and disadvantages of this move? What doubts are there? Two cases of malignant tumor patients undergoing first-time out-of-operation surgery were treated in our hospital for clinical analysis. Case 1: Valley × ×, female, 61 years old. In 1955, there was a large black mass of soybeans under the left ear lobe. There was no discomfort. In 1975, it grew to the point of the little finger and it was unbearable. June 1978 in local hygiene