Kumar P V, Monabati A, Raseki A R, Arshadi C, Malek-Hosseini S A, Talei A R, Sadeghi E
Department of Pathology, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
Cytopathology. 2007 Jun;18(3):151-6. doi: 10.1111/j.1365-2303.2007.00414.x.
To study fine needle aspiration (FNA) cytological findings of splenic lesions and assess the role of FNA in the diagnosis of splenomegaly or splenic tumours.
This study consisted of 48 cases, 25 males and 23 females. The ages ranged between 3 and 71 years. Most of these cases were aspirated under ultrasonographic guidance and a small number were also aspirated directly by using a 22- to 23-gauge needles. The smears were stained with Wright-Giemsa and Papanicolaou methods. Special stains were used whenever necessary.
In this study 14 cases were diagnosed as lymphoma-leukaemia, 7 cases as tuberculosis, 12 cases as kala-azar, 2 cases as hydatid cyst, 3 cases as storage diseases, 3 cases as simple cyst, 2 cases as myeloproliferative disorders, 2 cases as malignant tumours and 3 cases as hamartomas (these were wrongly diagnosed as malignant tumours).
Splenic aspiration is a safe procedure and is very useful in the diagnosis of parasitic and infectious diseases, especially in endemic countries like Iran.
研究脾脏病变的细针穿刺（FNA）细胞学表现，并评估FNA在脾肿大或脾脏肿瘤诊断中的作用。
本研究包括48例患者，男性25例，女性23例。年龄在3至71岁之间。大多数病例在超声引导下进行穿刺，少数病例也直接使用22至23号针头进行穿刺。涂片采用瑞氏-吉姆萨和巴氏染色法。必要时使用特殊染色。
本研究中，14例诊断为淋巴瘤-白血病，7例为结核病，12例为黑热病，2例为包虫囊肿，3例为贮积病，3例为单纯囊肿，2例为骨髓增殖性疾病，2例为恶性肿瘤，3例为错构瘤（这些被误诊为恶性肿瘤）。
脾脏穿刺是一种安全的操作，在寄生虫和感染性疾病的诊断中非常有用，尤其是在伊朗等流行国家。
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