SUPERFICIAL AND DEEP-SEATED TUBERCULOUS LESIONS - FINE-NEEDLE ASPIRATION CYTOLOGY DIAGNOSIS OF 574 CASES

被引：23

作者：

DAS, DK

BHAMBHANI, S

PANT, JN

PARKASH, S

MURTHY, NS

HEDAU, ST

SODHANI, P

PANT, CS

机构：

[1] Institute of Cytology and Preventive Oncology (ICMR), New Delhi

[2] Institute of Nuclear Medicine and Allied Sciences, Delhi

来源：

DIAGNOSTIC CYTOPATHOLOGY | 1992年 / 8卷 / 03期

关键词：

EPITHELIOID GRANULOMA; NECROSIS; FNAC; LYMPH NODE; EXTRANODAL; THORAX; ABDOMEN; ULTRASONOGRAM;

D O I：

10.1002/dc.2840080305

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：

Over ai period of 2 yr (1987-1988), FDA smears in 574 cases were found to have cytologic features suggestive of or consistent with tuberculous lesions. The age of the patients ranged from 6 mo to 75 ye, with ai median of 24 yr. The male to female ratio was 273:301. Sites of FDA were superficial lymph nodes (SLR) in 440 (76.7 percent) cases, superficial extranodal sites (SENS) in 50 (8.7 percent), both SLN and SENS in 7 (1.2%), the thoracic cavity in 16 (2.8%), and the abdominal cavity in 61 (10.6%). Cytologic features were described under 3 major cytologic patterns, i.e., type I: epithelioid granuloma without necrosis, type II: epithelioid granuloma with necrosis, type III: necrosis without epithelioid granuloma. Type I, II, and III reactions were observed in 181 (31.5%), 183 (31.9%), and 210 (36.6%) cases, respectively. The overall AFB positivity was 30.8%. The AFB positivities for type I, II, and III cytologic reactions were 5.4%, 32.0%, and 48.5%, respectively. The AFB positivity was low (< 30.0%) in swellings of the body surface (23.8%) and abdominal organs (18.9%). High positivity (> 60.0%) was observed in lesions of the thorax (63.6%) and thyroid (62.5%).

引用

页码：211 / 215

页数：5

共 21 条

[1]

Bailey TM, Akhtar M, Ali MA, Fine needle aspiration biopsy in the diagnosis of tuberculosis, Acta Cytol, 29, pp. 732-736, (1985)

[2]

Rajwanshi A, Bhambhani S, Das DK, Fine needle aspiration cytology diagnosis of tuberculosis, Diagn Cytopathol, 3, pp. 13-16, (1987)

[3]

Dahlgren SE, Ekstrom P, Aspiration cytology in the diagnosis of pulmonary tuberculosis, Scand J Resp Dis, 53, pp. 196-201, (1972)

[4]

Metre MS, Jayaram G, Acid‐fast bacilli in aspiration smears from tuberculous lymph nodes. An analysis of 255 cases, Acta Cytol, 31, pp. 17-19, (1987)

[5]

Dandapat MC, Panda BK, Patra AK, Acharya N, Diagnosis of tubercular lymphadenitis by fine needle aspiration cytology, Ind J Tuberc, 34, pp. 139-142, (1987)

[6]

Das DK, Pant JN, Chachra KL, Murthy NS, Satyanarayan L, Thankamma TC, Kakkar PK, Tuberculous lymphadenitis: Correlation of cellular components and necrosis in lymph node aspirate with A.F.B. positivity and bacillary count, Ind J Pathol Microbiol, 31, pp. 1-10, (1990)

[7]

Nayar M, Saxena HMK, Tuberculosis of the breast: A cytomorphologic study of needle aspirates and nipple discharges, Acta Cytol, 28, pp. 325-328, (1984)

[8]

Bailey GVJ, Tuberculosis control in India: Current problems and possible solutions, Ind J Tuberc, 30, pp. 45-56, (1983)

[9]

Sivaraman S, Tuberculosis in India: The prospect, Ind J Tuberc, 29, pp. 71-86, (1982)

[10]

Palva T, Saloheimo M, Observation on the cytologic pattern of bronchial aspirates in pulmonary tuberculosis, Acta Tuberc Scand, 31, pp. 278-288, (1955)

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