以下是引用陈隆文博士在2009-3-9 21:44:00的发言：
I think that this case demonstrates a coomon problem of some cases posted by our chinese pathologist. As some of you posted, the pictures are not clear, either because the slides quality is poor or the picture quality is poor, in any instance, I would not "kill myself" to try to classify this as either adenocarcinoma or squamous cell carcinoma. It is basically a non-small cell carcinoma. I always remind our residents and fellows, cytology is not 万能的。It has it's limitation. In this case, the quality of the pictures is the limitation. When there is limitation, I don't give a definitive diagnosis or subclassify the tumor. If the cliniian is ok with non-small cell carcinoma and patient's tumor is surgically removable, this diagnosis serves it's purpose. If it is not surgically removable and the clinician really needs subclassification to use different chemo-therapeutic agents to treat, then they need to get another good sample and good quality slides for me to subclassify. |
很多人对于细胞学涂片的处理方法还满足于血液室的思维，细胞是干片，还喜欢采用瑞氏染色，本身细胞数量很有限，所以造成诊断困难。陈博士的话值得大家深入思考，细胞学如何才能提高诊断的准确性，如何才能正确把握诊断尺度？
鳞癌 
