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曲霉引起的皮下肿块细针穿刺抽吸:2例报告

Fine needle aspiration of subcutaneous masses caused by Aspergillus: a report of 2 cases.

作者信息

Geramizadeh Bita, Kheirandish Parastoo, Fatheezadeh Payam, Jannesar Ramin

机构信息

Pathology Department, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Acta Cytol. 2005 Nov-Dec;49(6):666-8. doi: 10.1159/000326258.

DOI:10.1159/000326258
PMID:16450910
Abstract

BACKGROUND

Fine needle aspiration biopsy is a well-established method for dijfrrentiation of infective from neoplastic lesions. Varions infective agents, such as mycobacteria, leishmaniasis and microfaria can be diagnosed from aspirates, but there are few case reports on fungal infections in aspirates. Cytologic diagnosis of Aspergillus has occasionally occurred on sputum, pulmonary samples, vaginal secretions, endometrial washings and maxillary sinus specimens. One case of hepatic and subcutaneous masses was diagnosed as Aspergillus by fine needle aspiration and confirmed by culture and histology.

CASES

Two cases of subcutaneous aspergillosis were diagnosed by fine needle aspiration and confirmed by culture and histology.

CONCLUSION

Fine needle aspiration cytology is a rapid, sensitive and important method of diagnosing Aspergillus and provides a rapid diagnosis, which may be life saving in an immunocompromised patient.

摘要

背景

细针穿刺活检是区分感染性病变和肿瘤性病变的成熟方法。可从抽吸物中诊断出多种感染因子,如分枝杆菌、利什曼病和微丝蚴,但关于抽吸物中真菌感染的病例报告较少。曲霉的细胞学诊断偶尔出现在痰液、肺部样本、阴道分泌物、子宫内膜冲洗液和上颌窦标本中。有一例肝和皮下肿块通过细针穿刺诊断为曲霉,并经培养和组织学证实。

病例

两例皮下曲霉病通过细针穿刺诊断,并经培养和组织学证实。

结论

细针穿刺细胞学检查是诊断曲霉的快速、敏感且重要的方法,能提供快速诊断,这对免疫功能低下的患者可能是救命的。

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