:—PRESENT STATUS AND SOME PROBLEMS OF CYTODIAGNOSIS AT NATIONAL HOSPITALS AND SANATORIA AS WELL AS THE DIAGNOSIS OF PULMONARY CARCINOMA AT OUR HOSPITAL—
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概要
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Our questionnaire was directed toward the national medical institutes to investigate the present circumstances and problems with respect to the cytodiagnosis being performed there and responses were obtained from 60 national hospitals (61%) and 85 national sanatoriums (56%). The institutes where screening and diagnosis were performed by the hospital personnels were 44 national hospitals (73%) and 35 sanatoriums (41%); the institutes which employ their own screening technicians were 22 national hospitals (37%) and 17 sanatoriums (20%); and the institutes being attended by guiding physicians were 8 national hospitals and 2 sanatoriums. With respect to the number of cases in which the institutes performed cytodiagnosis, there were many institutes that dealt with the diagnosis of more than 1, 000 cases per year, and particularly as many as 5 sanatoriums performed the more than 3, 000 cases of diagnosis regarding only respiratory organs. Of the cases reported in the questionnaires, 163 patients were early lung cancer at the hilus and one-third of these patients revealed negative X-ray findings with positive cytology. The technique of bronchial brushing under bronchoscopy has been recently employed in many hospitals, and the successful diagnosis of peripheral pulmonary carcinoma is increasing.Next, the data regarding cytodiagnosis from our hospital was analyzed. The cases undergoing the diagnosis are increasing annually and the number exceeded 4, 000 in 1980. The cases of pulmonary carcinoma diagnosed by cytodiagnosis have reached 91%, and recently percutaneous needle aspiration biopsy has been performed in cases with negative cytology in both sputum and brushing in an attempt to improve the diagnosis of pulmonary carcinoma. These results suggested that cytodiagnosis will remain important as a means for the diagnosis of lung cancer.However, the analysis by questionnaire in the present study also demonstrated complaints from many institutes against shortage of screening technicians. It is required that not only these institutes would exert their efforts but the government would take appropriate measures for establishing cytodiagnostic systems and particularly for the education of screening technicians.
- 一般社団法人 国立医療学会の論文
一般社団法人 国立医療学会 | 論文
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