Kumar P V
Department of Pathology, Shiraz Medical School, Shiraz University of Medical Sciences, Iran.
Acta Cytol. 1998 Mar-Apr;42(2):312-6. doi: 10.1159/000331609.
To study the role of testicular fine needle aspiration (FNA) in the diagnosis of leukemia relapse.
The study group consisted of 32 leukemia patients in complete remission for one to five years. Their ages ranged from 8 to 63 years. Twenty-five of them had bilateral testicular enlargement, and seven had unilateral enlargement. Hematologic workup and bone marrow studies of all of the patients showed no evidence of leukemia (full remission). FNA smears were obtained by using 22-gauge needles fitted to 20-mL syringes.
The smears revealed 13 cases of acute lymphoblastic leukemia L2 (ALL-L2), 8 of ALL-L3, 5 of acute monoblastic leukemia M5 (AML-M5), 1 of acute promyelocytic leukemia (APL-M3), 1 of AML-M1; 1 of erythroleukemia, AML-M6, 1 of chronic lymphocytic leukemia, 1 of chronic myelogenous leukemia and 1 of plasma cell leukemia.
FNA study of the testis is safe, time saving, rapid and easy to perform for the diagnosis of testicular leukemia relapse, obviating the need for biopsy.
研究睾丸细针穿刺抽吸术（FNA）在白血病复发诊断中的作用。
研究组由32例完全缓解1至5年的白血病患者组成。他们的年龄在8至63岁之间。其中25例双侧睾丸肿大，7例单侧肿大。所有患者的血液学检查和骨髓检查均未发现白血病证据（完全缓解）。使用适配20毫升注射器的22号针头获取FNA涂片。
涂片显示13例急性淋巴细胞白血病L2型（ALL-L2）、8例ALL-L3型、5例急性单核细胞白血病M5型（AML-M5）、1例急性早幼粒细胞白血病（APL-M3）、1例AML-M1型；1例红白血病，AML-M6型、1例慢性淋巴细胞白血病、1例慢性粒细胞白血病和1例浆细胞白血病。
睾丸FNA检查对于诊断睾丸白血病复发是安全、省时、快速且易于操作的，无需进行活检。
