Andola Sainath K, Naik A Akshatha
Department of Pathology, Mahadevappa Rampure Medical College, Gulbarga, Karnataka, India.
Southeast Asian J Trop Med Public Health. 2011 Nov;42(6):1351-8.
The objective of this study was to assess the role of fine needle aspiration cytology (FNAC) for the diagnosis of filariasis. Cytological smears were studied during 2006-2009. Twenty-five cases with microfilaria were detected: 7 from lymph nodes, 5 from soft tissue, 4 from effusion fluids, 3 from breast tissue, 2 from liver tissue, 1 each from thyroid tissue, a cervicovaginal smear, a hernial sac and a spermatic cord cyst. Embryonated adult worms were seen in four cases and eosinophils were seen in 3 cases. In endemic areas the diagnosis of filariasis should be considered in the differential diagnosis of swelling. This study highlights the importance of screening smears for parasites even in the absence of clinical indications and shows eosinophils are not mandatory to diagnose microfilaria.
本研究的目的是评估细针穿刺细胞学检查（FNAC）在丝虫病诊断中的作用。对2006年至2009年期间的细胞学涂片进行了研究。检测到25例微丝蚴病例：7例来自淋巴结，5例来自软组织，4例来自积液，3例来自乳腺组织，2例来自肝组织，1例分别来自甲状腺组织、宫颈阴道涂片、疝囊和精索囊肿。在4例中可见胚胎化成虫，3例中可见嗜酸性粒细胞。在流行地区，肿胀的鉴别诊断中应考虑丝虫病的诊断。本研究强调了即使在没有临床指征的情况下筛查涂片以查找寄生虫的重要性，并表明嗜酸性粒细胞并非诊断微丝蚴的必需条件。
