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表现为颈部淋巴结病的囊尾蚴病:两例罕见病例并文献复习

Cysticercosis presenting as cervical lymphadenopathy: a rare presentation in two cases with review of literature.

作者信息

Elhence P, Bansal R, Sharma S, Bharat V

机构信息

Department of Pathology, Subharti Medical College, Meerut, Uttar Pradesh, India.

出版信息

Niger J Clin Pract. 2012 Jul-Sep;15(3):361-3. doi: 10.4103/1119-3077.100652.

DOI:10.4103/1119-3077.100652
PMID:22960977
Abstract

Lymphadenopathy is a rare mode of presentation of cysticercus infestation. Hence, in endemic areas, cysticercosis must be included in the differential diagnosis of superficial palpable swellings in the neck region. We report two cases of cervical lymphadenopathy which were clinically suspected to be of tuberculous etiology. However, fine-needle aspiration cytology (FNAC) revealed features of parasitic lymphadenitis consistent with cysticercosis. Our cases highlight the importance of FNAC as an initial and rapid diagnostic modality for detecting parasitic lesions manifesting as lymphadenitis. Diagnosis by the minimally invasive FNA technique prompted an early therapeutic intervention with good response in our patients.

摘要

淋巴结病是囊尾蚴感染的一种罕见表现形式。因此,在流行地区,囊尾蚴病必须纳入颈部可触及浅表肿物的鉴别诊断。我们报告两例颈部淋巴结病,临床怀疑为结核病因。然而,细针穿刺细胞学检查(FNAC)显示出与囊尾蚴病相符的寄生虫性淋巴结炎特征。我们的病例强调了FNAC作为检测表现为淋巴结炎的寄生虫性病变的初始快速诊断方法的重要性。通过微创FNA技术进行诊断促使我们的患者得到了早期治疗干预且反应良好。

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