대한세포병리학회지 (The Korean Journal of Cytopathology)
- 제6권2호
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- Pages.116-124
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- 1995
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- 1017-0391(pISSN)
악성 체강삼출액의 세포학적 분석
Cytologic Analysis of Malignant Effusion
- 김상표 (계명대학교 의과대학 병리학교실, 의과학연구소) ;
- 배지연 (계명대학교 의과대학 병리학교실, 의과학연구소) ;
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박관규
(계명대학교 의과대학 병리학교실, 의과학연구소) ;
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권건영
(계명대학교 의과대학 병리학교실, 의과학연구소) ;
- 이상숙 (계명대학교 의과대학 병리학교실, 의과학연구소) ;
- 장은숙 (계명대학교 의과대학 병리학교실, 의과학연구소) ;
- 김정숙 (영남대학교 의과대학 임상병리학교실)
- Kim, Sang-Pyo (Department of Pathology, Institute for Medical Science, Keimyung University School of Medicine) ;
- Bae, Ji-Yeon (Department of Pathology, Institute for Medical Science, Keimyung University School of Medicine) ;
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Park, Kwan-Kyu
(Department of Pathology, Institute for Medical Science, Keimyung University School of Medicine) ;
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Kwon, Kun-Young
(Department of Pathology, Institute for Medical Science, Keimyung University School of Medicine) ;
- Lee, Sang-Sook (Department of Pathology, Institute for Medical Science, Keimyung University School of Medicine) ;
- Chang, Eun-Sook (Department of Pathology, Institute for Medical Science, Keimyung University School of Medicine) ;
- Kim, Chung-Sook (Department of Clinical Pathology, Yeongnam University School of Medicine)
- 발행 : 1995.12.30
초록
Eighty cases of malignant effusion were cytologically studied to elucidate the incidence of primary tumor site and cytologic characteristics of each tumor types. Eighty fluid specimens were composed of 43 ascitic, 35 pleural, and 2 pericardial effusion and primary tumor site had been confirmed by histology. The frequent primary sites were stomach(22 cases, 28%), lung(21 cases, 26%), ovary(11 cases, 14%), liver(7 cases, 9%), and breast (4 cases, 5%). The principal malignant tumors were adenocarcinoma (56 cases, 70%), squamous cell carcinoma (7 cases, 9%), liver cell carcinoma (7 cases, 9%), small cell carcinoma (4 cases, 5%), and non-Hodgkin's lymphoma (4 cases, 5%). The distinctive cytologic findings according to primary tumor types were as follows; the gastric adenocarcinomas were mainly characterized by isolated cells and irregular clusters sometimes with signet ring cells. Papillary serous cystadenocarcinoma of ovary showed frequently papillary clusters and occasional psammoma bodies. Breast carcinoma of ductal type showed cell balls with smooth margins. Colonic adenocarcinoma showed rather irregular clusters or palisading pattern of cylindrical cells. Metastatic squamous cell carcinoma, liver cell carcinoma, small cell carcinoma, and non-Hodgkln's lymphoma showed also characteristic features. These findings Indicate that the cytological features observed in the great majority of malignant effusion are similar to those of primary tumor types, which are very helpful to indentify the primary tumor site.