卡介苗淋巴结炎的细胞形态学模式
Cytomorphologic patterns in Calmette Guerin bacillus lymphadenitis.
作者信息
Gupta K, Singh N, Bhatia A, Arora V K, Singh U R, Singh B
机构信息
Department of Pathology, University College of Medical Sciences, Delhi, India.
出版信息
Acta Cytol. 1997 Mar-Apr;41(2):348-50. doi: 10.1159/000332523.
OBJECTIVE
To study the cytomorphologic patterns of Calmette Guerin bacillus (BCG) lymphadenitis and compare it to those of tuberculous lymphadenitis.
STUDY DESIGN
A retrospective cytomorphologic study of 136 cases of clinically diagnosed BCG adenitis. All fine needle aspiration smears of lymphadenitis in the age group 2 months to 2 years during a three-and-half-year period were analyzed.
RESULTS
Three distinct cytomorphologic patterns were seen in 112 cases. They were acid-fast bacilli in a necrotic background (62), granulomas with necrosis (47) and granulomas in a reactive lymphoid background (3).
CONCLUSION
The cytomorphologic patterns in BCG lymphadenitis were similar to those seen in tuberculous lymphadenitis; however, an exudative response and high acid-fast bacillus positivity was seen more frequently in BCG lymphadenitis. Moreover, Ziehl-Neelsen staining helped to distinguish these cases from pyogenic abscesses.
目的
研究卡介苗（BCG）淋巴结炎的细胞形态学模式，并将其与结核性淋巴结炎的细胞形态学模式进行比较。
研究设计
对136例临床诊断为卡介苗腺炎的病例进行回顾性细胞形态学研究。分析了在三年半时间内2个月至2岁年龄组淋巴结炎的所有细针穿刺涂片。
结果
112例中可见三种不同的细胞形态学模式。它们分别是坏死背景中的抗酸杆菌（62例）、伴有坏死的肉芽肿（47例）和反应性淋巴背景中的肉芽肿（3例）。
结论
卡介苗淋巴结炎的细胞形态学模式与结核性淋巴结炎相似；然而，卡介苗淋巴结炎中渗出反应和抗酸杆菌高阳性更为常见。此外，齐-尼氏染色有助于将这些病例与化脓性脓肿区分开来。
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