Sweden, Lund University Hospitalの細胞診, 特にAspirations Cytologyについて

抄録

While I was at the department of surgery, Lund University, Sweden, for recent 5 months, I had an opportunity to yisit the aspirations clinic of university hospital. I describe brief summary of what I saw at the clinic.
The cytology section belongs to the department of pathology, and most of the doctors working in the aspiration clinic are pathologists. The annual numbers of cytology cases during the last years have been increasing. The figures for 1977 are as follows: Vaginal cytology 43, 169, respiratory cytology and effusions 5, 364, urinary cytology 6, 704 cases and aspiration cytology 8, 574, whereof 4, 619 aspirations were made by the cytologists and the remaining cases were sent to the laboratory from other hospitals. An aspiration is performed by using a very fine needle attached to a disposable syringe, which is connected to a pistol-type aspiration apparatus.
Aspirations cytology is performed at he outpatient clinic in most cases. Ten to 20 patients are received aspiration cytology every day. It is also frequently performed in the operating room and the fluoroscopy room. The number of cases by organs performed in 1977 is: 1, 969 cases of mammary gland, 1, 160 cases thyroid, 1, 004 cases of prostate, 1, 103 cases of lymph node, 513 cases of liver, and 344 cases of salivery gland cytology: thus, almost all the organs are included and cytology of the lung, pancreas and kidneys is also frequently performed.
The clinicians in all the departments are greatly interested in and also greatly rely on cytologic diagnosis, utilizing the diagnosis for the treatment of various deseases, especially, for the early diagnosis and the determination of therapeutic regimen of cancer.