Mair S
Department of Anatomical Pathology, School of Pathology, South African Institute for Medical Research, Johannesburg.
Acta Cytol. 1989 Nov-Dec;33(6):903-6.
Fine needle aspiration (FNA) of bilaterally enlarged submandibular salivary glands yielded both Curschmann's spirals and actinomycetes filaments in the FNA smears. Histologic study of specimens from the bilateral submandibulectomy confirmed the actinomycosis but failed to demonstrate the presence of spirals. The presence of Curschmann's spirals in FNA material is a finding not previously described in the English literature. Actinomycosis, although well documented in exfoliative cytology, has been rarely reported in fine needle aspirates. This unique case afforded the opportunity of illustrating the characteristic features of Curschmann's spirals and actinomycetes colonies, as well as reviewing the etiology and pathogenesis of Curschmann's spirals, in FNA material.
双侧下颌下唾液腺肿大的细针穿刺抽吸（FNA）涂片显示既有库施曼螺旋体又有放线菌菌丝。双侧下颌下腺切除术标本的组织学研究证实为放线菌病，但未发现螺旋体。FNA材料中出现库施曼螺旋体这一发现此前在英文文献中未见描述。放线菌病在脱落细胞学中有充分记载，但在细针抽吸物中报道较少。这个独特的病例提供了一个机会，可展示FNA材料中库施曼螺旋体和放线菌菌落的特征，以及回顾库施曼螺旋体的病因和发病机制。
