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淋巴结活检石蜡包埋切片中的结核分枝杆菌

M. tuberculosis in Lymph Node Biopsy Paraffin-Embedded Sections.

作者信息

Eshete Abdurehman, Zeyinudin Ahmed, Ali Solomon, Abera Solomon, Mohammed Mona

机构信息

Department of Medical Laboratory Sciences and Pathology, College of Public Health and Medical Sciences, Jimma University, 409 Jimma, Ethiopia.

出版信息

Tuberc Res Treat. 2011;2011:127817. doi: 10.1155/2011/127817. Epub 2011 Dec 13.

Abstract

Background. Tuberculosis lymphadenitis is one of the most common forms of all extrapulmonary tuberculosis. Objective. To evaluate the magnitude of M. tuberculosis from lymph node biopsy paraffin-embedded sections among suspected patients visiting the Jimma University Specialized Hospital. Method. A cross-sectional study design of histological examination among lymph node biopsy paraffin-embedded sections by Ziehl-Neelsen and hematoxylin/eosin staining technique was conducted from December, 2009, to October, 2010, at the Department of Medical Laboratory Science and Pathology. Result. Histopathological examination of the specimens by hematoxylin and eosin staining technique revealed the presence of granulomas. But for the caseation and necrosis they were present in 85% cases of nodal tissue biopsies. From those, 56.7% were from females. The presence of acid-fast bacilli was microscopically confirmed by ZN staining in 37 (61.7%) of the nodal tissue biopsies. Conclusion and Recommendation. Tuberculosis lymphadenitis is significantly more common in females. Hence, attention should be given for control and prevention of extrapulmonary tuberculosis.

摘要

背景。结核性淋巴结炎是肺外结核最常见的形式之一。目的。评估在访问吉姆马大学专科医院的疑似患者中,通过淋巴结活检石蜡包埋切片检测结核分枝杆菌的情况。方法。2009年12月至2010年10月,在医学检验科学与病理学系,采用齐-尼氏染色法和苏木精/伊红染色技术对淋巴结活检石蜡包埋切片进行组织学检查的横断面研究设计。结果。苏木精和伊红染色技术对标本进行组织病理学检查发现存在肉芽肿。但对于干酪样坏死,它们存在于85%的淋巴结组织活检病例中。其中,56.7%来自女性。通过ZN染色在显微镜下证实37例(61.7%)淋巴结组织活检中存在抗酸杆菌。结论与建议。结核性淋巴结炎在女性中明显更为常见。因此,应重视肺外结核的控制和预防。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e28c/3335535/18194f3706f4/TRT2011-127817.001.jpg

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