Nayak Sujata, Mani Reeta, Kavatkar Anita N, Puranik Shaila C, Holla Vasudev V
B.J. Medical College and Sassoon General Hospitals Pune, Maharashtra, India.
Diagn Cytopathol. 2003 Sep;29(3):146-8. doi: 10.1002/dc.10340.
Fine-needle aspiration cytology (FNAC) of 32 HIV-positive cases presenting with lymphadenopathy was performed to evaluate its role in this group of patients. For each case air-dried smears were stained with Leishman, hematoxylin and eosin, and Zeihl-Neelsen stains for acid fast bacilli (AFB). The results were tuberculous (TB) lymphadenopathy (15), reactive lymphadenopathy (10), acute lymphadenitis/abscess (5), and suspected malignancy (2). In seven cases of TB lymphadenitis findings were suggestive of TB since no AFB was demonstrable on the cytology smears. In TB lymphadenitis, two additional patterns besides necrotising granulomatous (4) and granulomatous (2) were observed. These were necrotising (6) and necrotising suppurative (3) patterns. FNAC is a simple, inexpensive, rapid investigative procedure which can reduce surgical excisions and provide definite guidelines about further management.
对32例出现淋巴结病的HIV阳性病例进行了细针穿刺细胞学检查（FNAC），以评估其在该组患者中的作用。对每例病例的空气干燥涂片进行利什曼染色、苏木精和伊红染色以及齐-尼氏抗酸杆菌（AFB）染色。结果为结核性（TB）淋巴结病（15例）、反应性淋巴结病（10例）、急性淋巴结炎/脓肿（5例）和疑似恶性肿瘤（2例）。在7例结核性淋巴结炎病例中，由于细胞学涂片上未发现AFB，其结果提示为结核。在结核性淋巴结炎中，除坏死性肉芽肿（4例）和肉芽肿（2例）外，还观察到另外两种模式。这些是坏死性（6例）和坏死性化脓性（3例）模式。FNAC是一种简单、廉价、快速的检查方法，可减少手术切除，并为进一步治疗提供明确的指导方针。
