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细针穿刺抽吸活检术诊断结核病——在芒格洛尔进行的一项为期八年的研究

FNAC diagnosis of tuberculosis--an eight years study at Mangalore.

作者信息

Bhattacharya S, Raghuveer C V, Adhikari P

机构信息

Medicine Department, Kasturba Medical College, Mangalore.

出版信息

Indian J Med Sci. 1998 Nov;52(11):498-506.

Abstract
  1. FNAC is a very useful adjunct in the diagnosis of tuberculosis: 2. Diagnosis of tuberculosis can be made by the demonstration of epithelioid granulomas with or without caseation even in the absence of AFB. 3. Necrotic features whether acellular or accompanied by neutrophilic infiltrate are usually misdiagnosed as suppurative abscesses. Such smears however show high AFB positivity and thus the diagnosis of tuberculosis is still possible even in the absence of epithelioid granulomas. 4. Therefore all smears obtained by FNAC of suspected tuberculous lesions should be subjected to ZN staining for AFB.
摘要
  1. 细针穿刺抽吸活检(FNAC)在结核病诊断中是一种非常有用的辅助手段。2. 即使在没有抗酸杆菌(AFB)的情况下,通过显示有或无干酪样坏死的上皮样肉芽肿也可做出结核病的诊断。3. 坏死特征,无论是否为无细胞性或伴有中性粒细胞浸润,通常会被误诊为化脓性脓肿。然而,此类涂片显示出高AFB阳性率,因此即使没有上皮样肉芽肿,结核病的诊断仍有可能。4. 因此,通过FNAC获取的所有疑似结核病变的涂片都应进行ZN染色以检测AFB。

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