论文部分内容阅读
目的:分析穿刺活检诊断前列腺癌的形态学。方法:选取我院于2012年1月~2013年3月收治的181例前列腺患者,均对患者进行前列腺穿刺活检检查,其中对71例前列腺癌患者病例资料进行回顾性分析,从浸润、细胞学改善、结构异常以及其他诊断意义的病变4个方面共20项形态学指标,分析研究其临床诊断前列腺癌的意义。结果:71例(39.2%)患者病症被确诊,剩余患者中,其中2例(1.1%)患者为其他炎性病症,108例(59.7%)患者被确诊为前列腺良性增生病症;被确诊的71例前列腺癌患者,其中出现浸润64例(90.1%),细胞学异型性49例(69.0%),结构紊乱68例(95.8%),其中确诊的71例患者中,出现低分化腺癌36例(50.7%),中分化腺癌21例(29.6%),高分化腺癌14例(19.7%)。结论:诊断前列腺癌,应该综合多项指标,进行全面观察,对患者病症进行综合判定。
Objective: To analyze the morphology of prostate cancer by biopsy. Methods: A total of 181 prostate cancer patients admitted to our hospital from January 2012 to March 2013 were enrolled in this study. Prostate biopsies were performed on the patients. The data of 71 patients with prostate cancer were analyzed retrospectively. From infiltration, cytology Improvement, structural abnormalities and other diagnostic significance of the four aspects of a total of 20 morphological indicators, analysis of its clinical significance of the diagnosis of prostate cancer. RESULTS: Seventy-one (39.2%) of the patients were diagnosed. Of the remaining patients, two (1.1%) of the remaining patients were other inflammatory conditions and 108 (59.7%) were diagnosed as benign prostatic hyperplasia; Among the patients with prostate cancer, there were 64 cases (90.1%) infiltrated, 49 cases (69.0%) had cytological atypia, 68 cases (95.8%) had structural disorder, and among the 71 patients diagnosed, there were 36 cases of poorly differentiated adenocarcinoma (50.7%), moderately differentiated adenocarcinoma in 21 cases (29.6%) and well-differentiated adenocarcinoma in 14 cases (19.7%). Conclusion: The diagnosis of prostate cancer, should be integrated a number of indicators, a comprehensive observation of the patient’s illness to make a comprehensive determination.