Gynecologic cytology on ascitic.docVIP

 PAGE \* MERGEFORMAT 8 Gynecologic cytology on ascitic [Abstract] Objective gynecological outpatients on the understanding of liquid-based cytology, improve the detection rate of liquid-based cytology, so early detection and early treatment of cervical cancer. Methods made questionnaire, liquid-based cervical cytology is effective means of preventing cervical cancer and improve the detection rate depends on the health education staff, nursing staff during the cancer screening measures can play an important role. as the census depends on social support. to establish an effective tracking health records and treatment. [Keywords:] gynecological clinic ascites cytological examination [Indications] gynecological cancer about 1 / 3 of patients with ascites, often occurs as ovarian cancer ascites tumor, followed by advanced endometrial cancer, uterine sarcoma, fallopian tube cancer. [How] ascites puncture through the abdominal wall can be taken for a long time, such as less ascites puncture via posterior fornix. Ovarian cancer often fall into the pelvic cavity, directly deposited in the uterus at the rectal pouch, puncture here to find more positive rate of cancer cells high, lumbar puncture needle 18 can be used by culdocentesis, peritoneal fluid aspiration smear, Pap microscope after staining. If the ascites is more absorbing as much as possible, preferably up to 200ml or more, 2 000r/min centrifugation After the smear, can increase the positive rate. [Note] malignant ascites is exudate, containing a large number of proteins, salts, electrolytes, in addition to cellular components, namely, shedding of tumor cells and peritoneal mesothelial cells. Therefore, ascites cytology, can be found tumor cells, but should be noted that microscopic cancer cells and reactive mesothelial cells difference. Because the nature of the tumor, stage, technology and experience the different, individual ascites cells, the positive reports varies wid