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KMID : 0361019940370040783
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Korean Journal of Otolaryngology - Head and Neck Surgery
1994 Volume.37 No. 4 p.783 ~ p.787
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Use of Fine-Needle Aspiration Cytologic Examination and Acid FastBacilli Staining in the Diagnosis of cervical Tuberculous Lymphadenitis
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오경균
이종호/장경만/김승태/추무진
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Abstract
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A retrospective study to evaluate the efficacy of use of fine-needle aspiration(FNA) cytologic examination and acid fast bacilli(AFB) staining in the diagnosis of cervical tuberculous lymphadenitis was carried out. Preoperative FNA cytologic
examination
and smear for AFB were performed on 185 patients with cervical lymphadenitis. Two patients had histologically confirmed non-Hodgkin malignant lymphoma. Each patient was treated with anti-tuberculous chemotherpy. All patients have been followed-up
to the
present(minimum 4 years, mean 6.5 years).
The sensitivity of FNA cytologic examination was positive in 73.8% of 183 patients in detecting tuberculous lymphadenitis and the predictive value of positive FNA cytologic examination for tuberculous lymphadenitis was 98.5%. The AFB detection
rate
from
fine needle aspirates was 44.8% and the predictive value was 98.8%. When the FNA cytologic examination and AFB smear technique were employed together they could diagnose 100%. Combined use of FNA cytologic examination and the detection of AFB was
efficient in the diagnosis of cervical tuberculous lymphadenitis.
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KEYWORD
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