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微丝蚴与多灶性肝细胞癌共存：一例报告。

Microfilaria coexisting with multifocal hepatocellular carcinoma: A case report.

作者信息

Sinha Ruchi, Prasad Tanya, Kumar Satyajeet, Singh Avinash, Khanna Puja

机构信息

Department of Pathology, All India Institute of Medical Sciences, Patna, Bihar, India.

出版信息

J Family Med Prim Care. 2025 Jan;14(1):478-480. doi: 10.4103/jfmpc.jfmpc_862_24. Epub 2025 Jan 13.

DOI:10.4103/jfmpc.jfmpc_862_24
PMID:39989529
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11844936/
Abstract

Filariasis is an endemic health issue in India and Southeast Asian countries. The diagnosis is conventionally made by demonstrating microfilaria in a peripheral blood smear. Detection of microfilaria is rarely reported in cytological evaluation, and even more infrequent is the presence of microfilaria in a neoplastic lesion. Here we report a rare case of microfilaria in a routine cytological smear of a liver aspirate, which was diagnosed as hepatocellular carcinoma.

摘要

丝虫病在印度和东南亚国家是一个地方性健康问题。传统上通过在外周血涂片中发现微丝蚴来进行诊断。在细胞学评估中很少报告微丝蚴的检测情况，而在肿瘤性病变中出现微丝蚴的情况则更为罕见。在此，我们报告一例在肝脏穿刺液常规细胞学涂片中发现微丝蚴的罕见病例，该病例被诊断为肝细胞癌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fd8/11844936/cf03c1a820b1/JFMPC-14-478-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fd8/11844936/aa007c240a75/JFMPC-14-478-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fd8/11844936/a64dccd69283/JFMPC-14-478-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fd8/11844936/cf03c1a820b1/JFMPC-14-478-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fd8/11844936/aa007c240a75/JFMPC-14-478-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fd8/11844936/a64dccd69283/JFMPC-14-478-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fd8/11844936/cf03c1a820b1/JFMPC-14-478-g003.jpg

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本文引用的文献

1
Cytological findings of microfilariae in different sites: A retrospective review of 22 cases from endemic region.不同部位微丝蚴的细胞学发现：对来自流行地区的22例病例的回顾性研究
Trop Parasitol. 2018 Jan-Jun;8(1):24-28. doi: 10.4103/tp.TP_20_17. Epub 2018 May 28.
2
Incidental diagnosis of filariasis in association with carcinoma of gall bladder: Report of a case evidenced on ultrasound-guided fine-needle aspiration cytology with review of the literature.胆囊癌合并丝虫病的偶然诊断：1例经超声引导下细针穿刺细胞学检查证实的病例报告并文献复习
J Cytol. 2014 Jul;31(3):174-5. doi: 10.4103/0970-9371.145662.
3
Cystic microfilarial infestation of the liver: a rare presentation.
肝脏的囊性微丝蚴感染：一种罕见的表现。
Int J Infect Dis. 2015 Feb;31:15-7. doi: 10.1016/j.ijid.2014.12.008. Epub 2014 Dec 12.
4
Microfilariae in association with neoplastic lesions: report of five cases.微丝蚴与肿瘤性病变相关：5例报告。
Cytopathology. 2001 Apr;12(2):120-6. doi: 10.1046/j.1365-2303.2001.00301.x.
5
Microfilariae in fine needle aspirates of the liver.肝脏细针穿刺抽吸物中的微丝蚴
Acta Cytol. 1998 Mar-Apr;42(2):454.
6
Microfilariae in cytologic smears: a report of six cases.细胞学涂片检查中的微丝蚴：6例报告
Acta Cytol. 1996 Mar-Apr;40(2):299-301. doi: 10.1159/000333755.