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颈部放线菌病:细针穿刺活检诊断

Actinomycosis of the neck: diagnosis by fine-needle aspiration biopsy.

作者信息

Hong I S, Mezghebe H M, Gaiter T E, Lofton J

机构信息

Department of Pathology, Howard University Hospital, Washington, DC.

出版信息

J Natl Med Assoc. 1993 Feb;85(2):145-6.

PMID:8441189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2571855/
Abstract

A patient with actinomyces infection of the posterior neck was diagnosed by fine-needle aspiration biopsy. The lesion presented as a recurrent, firm, and indurated mass that was clinically diagnosed as adenitis and cellulitis and was thought to be a lymphoma 6 months after the onset of his illness. Smears and cell block sections of the aspirate showed characteristic colonies ("sulfur granules") of actinomyces. Subsequent regional lymph node biopsy revealed reactive lymphoid hyperplasia.

摘要

一名后颈部放线菌感染患者经细针穿刺活检确诊。病变表现为反复出现的、质地硬且硬结的肿块,临床诊断为腺炎和蜂窝织炎,在发病6个月后曾被认为是淋巴瘤。抽吸物的涂片和细胞块切片显示出放线菌的特征性菌落(“硫黄颗粒”)。随后的区域淋巴结活检显示为反应性淋巴组织增生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce4b/2571855/f7e30168a944/jnma00292-0086-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce4b/2571855/20b2f3e0a221/jnma00292-0086-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce4b/2571855/31068586fbe5/jnma00292-0086-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce4b/2571855/f7e30168a944/jnma00292-0086-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce4b/2571855/20b2f3e0a221/jnma00292-0086-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce4b/2571855/31068586fbe5/jnma00292-0086-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce4b/2571855/f7e30168a944/jnma00292-0086-c.jpg

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本文引用的文献

1
Diagnostic accuracy and role of immediate interpretation of fine needle aspiration biopsy specimens from various sites.不同部位细针穿刺活检标本即时判读的诊断准确性及作用
Acta Cytol. 1989 Nov-Dec;33(6):791-6.
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Actinomycosis.放线菌病
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模拟恶性肿瘤的原发性乳腺放线菌病:一例经细针穿刺细胞学检查确诊的病例
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Cervicofacial actinomycosis: still a difficult differential diagnosis.颈面部放线菌病:仍然是一个难以鉴别的诊断。
Acta Otorhinolaryngol Ital. 2005 Apr;25(2):116-9.
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Fine needle aspiration of Actinomyces infection of the breast. A novel presentation of thoracopleural actinomycosis.
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