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肺细胞病理学报告系统对肺肿瘤疾病的诊断价值

申会秀, 孙涛*

摘要

目的：评估《世界卫生组织肺细胞病理学报告系统》（World Health Organization Pulmonary Cytopathology Reporting System，WHO系统）在临床肺肿瘤中的应用价值。方法：回顾接受呼吸道细胞病理学检查的374例患者样本，通过对比细胞学与组织病理学诊断结果并依据WHO系统分类并分析，结果：374例样本中，不足/不充分/非诊断性13例（3.5%），良性109例（29.1%），非典型35例（9.4%），可疑恶性13例（3.5%），恶性204例（54.5%）。各类别恶性风险（ROM）各异，活检显示最高灵敏度和特异性（均为100%），支气管刷检和痰液样本的诊断性能各异。结论：WHO报告系统提升肺细胞病理学诊断一致性和准确性，优化患者管理。

关键词

肺细胞病理学；WHO报告系统；恶性风险；液基细胞学

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参考

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