Fine-needle aspiration cytology of Kikuchi's lymphadenitis:: A report of ten cases

被引:27
作者
Viguer, JM [1 ]
Jiménez-Heffernan, JA [1 ]
Pérez, P [1 ]
López-Ferrer, P [1 ]
Gónzalez-Peramato, P [1 ]
Vicandi, B [1 ]
机构
[1] Univ Hosp La Paz, Dept Pathol, Madrid, Spain
关键词
cytology; fine-needle aspiration; Kikuchi's lymphadenitis; lymph node;
D O I
10.1002/dc.2042
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
The purpose of this study was to evaluate the cytologic features of Kikuchi's lymphadenitis (KL). Smears from 10 patients with histologically proven KL were reviewed. In all cases, fine-needle aspiration (FNA) was performed prior to biopsy. To assess the validity of morphologic recognition, a blinded study, including smears from non-Hodgkin's lymphomas, nonspecific, and mycobacterial lymphadenitis was performed. At least 5 cases showed characteristic cytologic findings that permitted their specific recognition. A polymorphous lymphoid population with abundant karyorrhectic debris and histiocytes, many of which showed a small size and eccentrically placed, crescent nuclei, were characteristic features of KL. The remaining 5 cases failed to show typical findings and were indistinguishable from other nonspecific, reactive lymphadenopathies. When typical cytologic findings are present in an adequate clinical context (cervical nodes in young patients), a precise diagnosis is possible, avoiding unnecessary biopsies.(C) 2001 Wiley-Liss, Inc.
引用
收藏
页码:220 / 224
页数:5
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