FINE-NEEDLE ASPIRATION OF HISTIOCYTIC NECROTIZING LYMPHADENITIS (KIKUCHIS DISEASE)

被引：32

作者：

HSUEH, EJ ^{[1
]}

KO, WS ^{[1
]}

HWANG, WS ^{[1
]}

YAM, LT ^{[1
]}

机构：

[1] TRI SERV GEN HOSP,DEPT INTERNAL MED,DIV HEMATOL ONCOL,622 TING CHOW ROAD,TAIPEI,TAIWAN

来源：

DIAGNOSTIC CYTOPATHOLOGY | 1993年 / 9卷 / 04期

关键词：

FINE-NEEDLE ASPIRATION; KIKUCHIS DISEASE;

D O I：

10.1002/dc.2840090415

中图分类号：

R446 [实验室诊断]; R-33 [实验医学、医学实验];

学科分类号：

1001 ;

摘要：

Fine-needle aspiration (FNA) of the lymph node was done in five patients with histiocytic necrotizing lymphadenitis (Kikuchi's disease). In four patients, the aspirates were found to have many small and large atypical lymphocytes, some reactive, phagocytic histiocytes, and intense extracellular debris. Neutrophils, plasma cells, or multinucleated giant cells were not seen. These cytologic findings were considered diagnostic for Kikuchi's disease. In one patient, the aspirate did not show significant histiocytosis or tissue necrosis and was considered nondiagnostic. In patients with both typical clinical features and characteristic cytologic findings in the lymph node aspirates, FNA of the lymph node alone will suffice for diagnosis. In those patients with typical clinical features but nondiagnostic findings in the FNA aspirates, the diagnosis of Kikuchi's disease may have to be established either on repeated nodal FNA or on lymph node biopsy. (C) 1993 Wiley-Liss. Inc.

引用

页码：448 / 452

页数：5

共 19 条

[1]

Kikuchi M, Lymphadenitis showing focal reticulum cell hyperplasia with nuclear debris and phagocytosis, Nippon Ketsueki Gakkai Zasshi, 35, pp. 379-380, (1972)

[2]

Fujimoto Y, Kozima Y, Yamazuchi K, Cervical subacute necrotizing lymphadenitis. A new clinicopathologic entity, Naika, 20, pp. 920-927, (1972)

[3]

Turner RR, Martin J, Dorfman RF, Necrotizing lymphadenitis: a study of 30 cases, Am J Surg Pathol, 7, pp. 115-123, (1983)

[4]

Chan JKC, Saw D, Histiocytic necrotizing lymphadenitis (Kikuchi's disease): a clinicopathologic study of nine cases, Pathology, 18, pp. 22-28, (1986)

[5]

Dorfman RF, Histiocytic necrotizing lymphadenitis of Kikuchi and Fujimoto, Arch Pathol Lab Med, 11, pp. 1026-1029, (1987)

[6]

Kung ITM, Ng WF, Yue RWS, Chan JKC, Kikuchi's histiocytic necrotizing lymphadenitis: diagnosis by fine needle aspiration, Acta Cytol, 34, pp. 323-328, (1990)

[7]

Dorfman RF, Berry G, An analysis of 108 cases with emphasis on differential diagnosis, Semin Diag Pathol, 5, pp. 329-345, (1988)

[8]

Tan EM, Cohen AS, Fries JF, Et al., The 1982 revised criteria for the classification of systemic lupus erythematosus, Arthritis and Rheumatism, 25, pp. 1271-1277, (1982)

[9]

Stain J, Cytologic diagnosis of reactive lymphadenopathy in fine needle aspiration biopsy specimens, Acta Cytol, 31, pp. 8-13, (1987)

[10]

Facchetti F, Wolf-Peeters CD, Oord JJVD, Vos RD, Desmet VJ, Am J Clin Pathol, 92, pp. 42-50, (1989)

← 1 2 →