【摘要】 目的 探讨诊断甲状腺乳头状癌的细胞学形态特点。方法 运用针吸活检(FNAB)法采集甲状腺结节标本,涂片经常规HE染色后进行细胞学观察，对甲状腺结节FNAB标本采集技术和作为细胞学诊断标准的假包涵体、乳头状片断的鉴别诊断进行探讨。结果 查见核内假包涵体和乳头状片断，细胞学诊断的63例甲状腺乳头状癌，均经术后组织病理学诊断证实。结论 FNAB诊断甲状腺乳头状癌正确性较高，掌握甲状腺乳头状癌的细胞学形态特点可提高诊断准确率。

    【关键词】 甲状腺；乳头状癌；细胞病理学；核内假包涵体；乳头状结构

    Cytological analysis in 63 cases of papillary carcinoma of thyroid gland

    DAI Jun,BAO Jian-dong,SHEN Hai-yan,et al.

    Atomic Medicine Institute,Wuxi 214063,China

    【Abstract】 Objective To study on the cytological morphology features of papillary carcinoma of thyroid.Methods The cytological samples of thyroid nodules were taken by fine needle aspiration biopsy(FNAB).The smear cytology was investigated after routine HE staining.Results The FNAB technology,intranuclear pseudoinclusions and papillary fragments as a cytological diagnostic criterion of papillary carcinoma of thyroid were studied. The intranuclear pseudoinclusions and papillary fragments were detected in 63 cases. These cases diagnosed as papillary carcinoma of thyroid cytologically were reconfirmed by post-operation histopathology. Conclusion Intranuclear pseudoinclusions and papillary fragments were the diagnostic cytological morphology features of papillary carcinoma of thyroid. The accuracy of cytological diagnosis was higher. ......