Baniel J, Manning A, Leiman G
Department of Urology, School of Pathology, South African Institute for Medical Research, Johannesburg.
J Urol. 1991 Sep;146(3):689-91. doi: 10.1016/s0022-5347(17)37894-1.
A total of 8 patients in whom renal tuberculosis was suspected on clinical or radiological grounds but in whom confirmation could not be achieved by urine culture underwent renal fine needle aspiration. Immediate cytodiagnosis was accomplished in 7 of 8 patients by the finding of Langhans' giant histiocytes, epithelioid histiocytes and necrotic debris. Later confirmation was obtained in all 8 cases by radiometric culture of aspiration material or saline rinses of the fine needles. This experience introduces fine needle aspiration cytology as a diagnostic modality in renal tuberculosis.
共有8例患者因临床或影像学怀疑肾结核，但尿培养未能确诊，接受了肾细针穿刺。8例患者中有7例通过发现朗汉斯巨细胞、上皮样组织细胞和坏死碎片立即做出了细胞诊断。后来，通过对穿刺材料或细针生理盐水冲洗液进行放射性培养，8例患者均得到了确诊。这一经验将细针穿刺细胞学引入了肾结核的诊断方法中。
