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临床未怀疑病例中罕见部位微丝蚴的细胞学诊断:丝虫病的一些罕见表现

Cytological diagnosis of microfilaria at unusual sites in clinically unsuspected cases: some rare presentations of filariasis.

作者信息

Bharti Shreekant, Agarwal Neeraj Kumar, Katiyar Richa, Dwivedi Saloni, Shri Mridu

机构信息

1 Assistant Professor, Pathology and Lab Medicine, All India Institute of Medical Sciences (AIIMS), Patna, Bihar.

2 Former Assistant Professor, Department of Pathology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.

出版信息

Trop Doct. 2018 Oct;48(4):373-375. doi: 10.1177/0049475518793630. Epub 2018 Aug 15.

Abstract

Filariasis is a major concern, particularly in endemic regions. The majority of patients harbouring the parasite may remain asymptomatic for years. Here, we present six patients who were sent for routine cytological examination to rule out neoplastic pathology, in whom cytology identified filarial infestation. The main purposes of our paper are to highlight the importance of fine needle aspiration cytology (FNAC), a cheap and quick investigation to detect the microfilaria from tissue swelling and body fluids, and to point out that clinicians practising in endemic regions should always consider filarial infestation in patients presenting with longstanding swelling.

摘要

丝虫病是一个主要问题,尤其是在流行地区。大多数携带该寄生虫的患者可能多年无症状。在此,我们介绍6例因排除肿瘤性病变而送去进行常规细胞学检查的患者,在这些患者中,细胞学检查发现了丝虫感染。我们本文的主要目的是强调细针穿刺抽吸细胞学检查(FNAC)的重要性,这是一种从组织肿胀和体液中检测微丝蚴的廉价且快速的检查方法,并指出在流行地区执业的临床医生在面对长期肿胀的患者时应始终考虑丝虫感染。

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