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伴有巨大淋巴结病的窦性组织细胞增生症(罗萨伊-多夫曼病):细针穿刺抽吸物的细胞形态学分析

Sinus histiocytosis with massive lymphadenopathy (Rosai-Dorfman disease): cytomorphologic analysis on fine-needle aspirates.

作者信息

Schmitt F C

机构信息

Department of Pathology, Botucatu School of Medicine, UNESP, Botucatu, São Paulo, Brazil.

出版信息

Diagn Cytopathol. 1992;8(6):596-9. doi: 10.1002/dc.2840080612.

DOI:10.1002/dc.2840080612
PMID:1468336
Abstract

Cytomorphologic characteristics of smears from fine-needle aspirates (FNA) of three cases of sinus histiocytosis with massive lymphadenopathy (SHML) (Rosai-Dorfman disease) are described. All aspirates showed mature lymphocytes, plasma cells, and large pale histiocytes with well-preserved lymphocytes within the cytoplasm (lymphocytophagocytosis). The cases were confirmed by surgical biopsy, and the immunohistochemical findings suggested a macrophage origin for this lesion. The value of FNA analysis as an aid to diagnosis of SHML is discussed.

摘要

描述了3例伴有巨大淋巴结病的窦性组织细胞增生症(SHML)(罗萨伊-多夫曼病)细针穿刺抽吸物(FNA)涂片的细胞形态学特征。所有抽吸物均显示成熟淋巴细胞、浆细胞和胞质内有保存完好淋巴细胞的大的淡染组织细胞(淋巴细胞吞噬现象)。这些病例经手术活检确诊,免疫组化结果提示该病变起源于巨噬细胞。讨论了FNA分析对SHML诊断的辅助价值。

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