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1、细针吸取细胞学检查(fineneedleaspirationcytology)使用细针穿刺病灶吸取出少量细胞成分作涂片来观察病灶部位肿瘤或非肿瘤性细胞的形态，从而作出诊断。细针吸取活检(fineneedleaspirationbiopsy)细针细胞病理(fineneedleaspirationcytopathology)细针吸取细胞学检查(fineneedleaspirationcytology)AdvantagesTheadvantagesofFNAbiopsycanbesummedupintheacronymSAFE.ItisSimple,Accurate
2、,Fast,andEconomic,aswellassafe.细针吸取细胞学检查(fineneedleaspirationcytology)Deep-SeatedOrganAspirationsFNAbiopsyofdeep-seatedorgans,suchaslung,liver,pancreas,kidney,oradrenal,isinmanywayssimilarto,butinsomewaysdifferentfrom,FNAbiopsyofsuperficialtargets.Ultrasound,ComputeredTomographyGuid
3、ingtheNeedle细针吸取细胞学检查(fineneedleaspirationcytology)Disadvantages样本采集涂片制作细胞学诊断淋巴结针吸细胞学检查淋巴结针吸细胞学检查：操作简便，快速安全，对于明确淋巴结良恶性病变的性质、快速诊断淋巴结疾病，包括各类反应性增生和淋巴结转移癌及恶性淋巴瘤，具有临床实用价值。正常淋巴结细胞学正常淋巴结穿刺涂片标本淋巴细胞占95%以上，以成熟小淋巴细胞为主，其余5%为幼淋巴细胞、原淋巴细胞、网状细胞和浆细胞等。正常淋巴结细胞学Lymphocytes.Benign,reactivepattern,withpr
4、edominanceofsmall,maturelymphocytes,arangeofmaturationofimmaturelymphocytes,andafullydifferentiatedplasmacell.(Diff-Quik)正常淋巴结细胞学Lymphocytes.Thebenignpatternshowingarangeofmaturationoflymphocytes,includingmatureplasmacells.(Pap)正常淋巴结细胞学Tingiblebodymacrophages.Specializedhistiocyteth
5、atengulfsdead(necrobiotic)cells.Associatedwithgerminalcenterformationandbenignlymphadenopathy,butcanbeseeninanyhigh-gradelymphoma.(Pap)淋巴结良性病变针吸细胞检查慢性淋巴结炎：本病常见，多由局部慢性感染引起，好发于颈部、颌下和腹股沟等处；涂片内有大量小淋巴细胞，夹有少量转化的淋巴细胞及组织细胞，有吞噬现象；慢性淋巴结炎慢性淋巴结炎ChroniclymphadenitisChroniclymphadenitisisprobably
6、themostcommondiagnosisinaspirationofenlargedlymphnodes.Acellularsmearwithnumerousimmature,orfollicularcentercells,butanoverallpredominanceofsmall,maturelymphocytes.Tingiblebodymacrophagesandlymphohistio-cyticaggregatesalsopresent.Mitoticfiguresmaybeseen.(Diff-Quik).慢性淋巴结炎Chroniclymp
7、hadenitisFollicularhyperplasia,withlarge,immaturelymphocytesandpredominanceofsmall,maturelymphocytesresultingincharacteristicfullrangeofmaturationofthelymphoidcells.Noteimmunoblastwithprominentnucleolusandplasmacytoidcytoplasm.Histiocytes,tingiblebodymacrophages,lymphohistiocyticagg
8、regates,andmitoticf
