FINE-NEEDLE ASPIRATION OF HISTIOCYTIC NECROTIZING LYMPHADENITIS (KIKUCHIS DISEASE)

被引:32
作者
HSUEH, EJ [1 ]
KO, WS [1 ]
HWANG, WS [1 ]
YAM, LT [1 ]
机构
[1] TRI SERV GEN HOSP,DEPT INTERNAL MED,DIV HEMATOL ONCOL,622 TING CHOW ROAD,TAIPEI,TAIWAN
关键词
FINE-NEEDLE ASPIRATION; KIKUCHIS DISEASE;
D O I
10.1002/dc.2840090415
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
Fine-needle aspiration (FNA) of the lymph node was done in five patients with histiocytic necrotizing lymphadenitis (Kikuchi's disease). In four patients, the aspirates were found to have many small and large atypical lymphocytes, some reactive, phagocytic histiocytes, and intense extracellular debris. Neutrophils, plasma cells, or multinucleated giant cells were not seen. These cytologic findings were considered diagnostic for Kikuchi's disease. In one patient, the aspirate did not show significant histiocytosis or tissue necrosis and was considered nondiagnostic. In patients with both typical clinical features and characteristic cytologic findings in the lymph node aspirates, FNA of the lymph node alone will suffice for diagnosis. In those patients with typical clinical features but nondiagnostic findings in the FNA aspirates, the diagnosis of Kikuchi's disease may have to be established either on repeated nodal FNA or on lymph node biopsy. (C) 1993 Wiley-Liss. Inc.
引用
收藏
页码:448 / 452
页数:5
相关论文
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