A REVIEW OF THE FINE-NEEDLE ASPIRATION CYTOLOGY FINDINGS IN HUMAN-IMMUNODEFICIENCY-VIRUS INFECTION

被引:20
作者
STRIGLE, SM
RARICK, MU
COSGROVE, MM
MARTIN, SE
机构
[1] Departments of Pathology and Medicine, Los Angeles County-University Southern California Medical Center, University of Southern California School of Medicine, Los Angeles, California
关键词
ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS); OPPORTUNISTIC INFECTIONS; LYMPHOMA; LYMPHOPROLIFERATIVE DISORDERS;
D O I
10.1002/dc.2840080109
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
Patients infected with the human immunodeficiency virus (HIV) are subject to infections and neoplasms, which frequently result in palpable or radiologically identified masses. Fine-needle aspiration (FNA) offers a rapid, simple, and cost effective approach for diagnosis of these masses. During a 2-yr period, 396 aspirates were performed on 362 HIV-infected patients within the LAC-USC Medical Center. Adequate material was obtained from 84% of the FNA, allowing the etiology of the mass to be determined in 90% of the cases by means of a combination of cytologic, microbiologic, and immunocytochemical procedures. Significant pathologic processes identified in these patients by means of FNA included reactive lymphoid proliferations (35%), abnormal lymphoid proliferations (12%), infections (12.5%), cystic (5.5%) and inflammatory processes (5%), nonlymphoid malignancies (4%), and salivary gland pathology (1%). We conclude that FNA is an appropriate initial diagnostic procedure in HIV positive patients presenting with mass lesions.
引用
收藏
页码:41 / 52
页数:12
相关论文
共 107 条
  • [1] Curran JW, (1988)
  • [2] Revision of the CDC surveillance case definition of AIDS, MMWR, 36, pp. 1S-14S, (1987)
  • [3] Feldman PS, Covell JL, Kardos TF, Fine‐needle aspiration cytology: lymph node, thyroid, and salivary gland, pp. 1-12, (1989)
  • [4] Strigle SM, Gal AA, Koss MN, Rapid diagnosis of Pneumocystis carinii infection in AIDS by cytocentrifugation and rapid hematoxylin‐eosin staining, Diagn Cytopathol, 6, pp. 164-168, (1990)
  • [5] Martin SE, Zhang H-Z, Magyarosy E, Immunologic methods in cytology: definitive diagnosis of non‐Hodgkin's lymphoma using immunologic markers for T and B cells, Am J Clin Pathol, 82, pp. 666-673, (1984)
  • [6] Lobenthal SW, Hadju SI, Urmacher C, Cytologic findings in homosexual males with acquired immunodeficiency, Acta Cytol, 27, pp. 597-604, (1983)
  • [7] Strigle SM, Gal AA, A review of the pulmonary cytopathology in the acquired immunodeficiency syndrome, Diagn Cytopathol, 5, pp. 44-54, (1989)
  • [8] Strigle SM, Gal AA, Martin SE, Alimentary tract cytopathology in human immunodeficiency virus infection: a review of the experience in Los Angeles, Diagn Cytopathol, 6, pp. 409-420, (1990)
  • [9] Strigle SM, Gal AA, A review of the central nervous system cytopathology in the acquired immune deficiency syndrome, Diagn Cytopathol, 7, pp. 387-401, (1991)
  • [10] Bottles K, McPhaul LW, Volberding P, Fine‐needle aspiration biopsy of patients with acquired immunodeficiency syndrome (AIDS): experience in an outpatient clinic, Ann Int Med, 108, pp. 42-45, (1988)