J.Jpn. Surg. Soc.. 82(9): 1063-1067, 1981
Report on the annual meeting
RAPID CYTODIAGNOSIS DURING ABDOMINAL OPERATION
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1) Department of Emergency, School of Medicine, Chiba University Takao Hanawa1), Shoichi Ihara1), Kohei Kamimura2), Etsuo Horinaka2), Masaru Suzuki2), Katsuji Okui2) |
The method of the rapid cytodiagnosis includes aspiration, scraping, imprinting, washing and sedimentation.
Rapid staining of Giemsa method was mainly used and those of Papanicolaou and Diff-Quik method were also done. Diagnosis could be determined usually within 7 to 8 minutes.
The correct diagnosis was attained in 74 of 84 specimens for benign lesions and in 99 of 118 specimens for malignant lesions, thus diagnostic accuracy rate being 88% and 90%, respectively.
The intraoperative rapid cytodiagnosis has several advantages as follows; the technique is simple and requires only several minutes for completion. It involves little damage on the tissue or organs. Therefore rarely causes untoward effect on a patient. Materials can be obtained from various sites and broad surface of an organ. This method can be also applied for the organs usually difficult to remove, for only a little tissue and for fluid material.
This technique provides more qualitative diagnosis than any other diagnostic methods. By judging the lesions benign or malignant, suitable operative procedures could be immediately determined.
As mentioned above, this method is clinically useful for rapidly determing the diagnosis during abdominal surgery.
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