Spieler P
Acta Cytol. 1979 Sep-Oct;23(5):374-9.
This paper reports on eight patients who had cytologic findings suggestive of florid pleural tuberculosis in pleural exudates. The suggestive diagnosis in each case was confirmed either by a pleural biopsy, culture of Mycobacterium tuberculosis from the aspirated fluids or clinical improvement from the administration of tuberculotherapy. The pleural effusion from tuberculosis is characterized by the presence of abundant lymphocytes in the smear. The nuclei of the lymphocytes show characteristic morphologic features. The two most important differential diagnoses are those effusions rich in lymphocytes due to nonspecific causes and effusions containing numerous tumor cells from a well-differentiated lymphosarcoma.
本文报告了8例胸腔积液细胞学检查结果提示为活动性胸膜结核的患者。每例患者通过胸膜活检、从抽出液中培养出结核分枝杆菌或抗结核治疗后临床症状改善得以确诊。结核性胸腔积液的特征是涂片中有大量淋巴细胞。淋巴细胞的细胞核呈现出特征性的形态学特征。两个最重要的鉴别诊断是由非特异性原因导致的富含淋巴细胞的胸腔积液和来自高分化淋巴肉瘤的含有大量肿瘤细胞的胸腔积液。
