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术中快速冰冻病理学检查诊断甲状腺癌亚型临床价值 被引量:3

Diagnostic value of frozen section for thyroid carcinoma variants
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摘要 甲状腺癌亚型相对少见,甚至罕见,不仅在多种病理学特征方面不同于传统型,而且少数甲状腺癌亚型相较传统型更具侵袭性且预后相对不良,属高危组织学类型,如能于术前或术中被准确识别,将有助于手术方式选择。虽然术中快速冰冻病理切片检查(frozen section,FS)对于亚型之类型诊断的准确性远未达到理想,常需等待术后石蜡切片和(或)免疫组化检查确诊,但FS的一项重要价值在于依然可能帮助术前不确定为恶性或误诊的亚型病例进一步明确诊断。 As relatively uncommon or even rare diseases, variants of thyroid carcinoma have different pathological features from those of the conventional types. Besides, a couple of the variants are more invasive and show comparatively worse prognosis, thus becoming high-risk histology types. Identifying the variants preor intraoperatively would therefore benefit surgical planing. Although the accuracy of type-specific diagnosis is more often guaranteed by post-operative paraffin section and/or immunohistochemistry rather than by frozen section (FS) , the latter remains an important role in improving the diagnosis of those thyroid carcinoma variants with indeterminate or misleading preoperative judgement.
作者 平波
出处 《中国实用外科杂志》 CSCD 北大核心 2015年第6期608-613,共6页 Chinese Journal of Practical Surgery
关键词 甲状腺癌 传统型 亚型 冰冻切片 thyroid carcinoma conventional type variants frozen section
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参考文献29

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