The Korean Journal of Cytopathology (대한세포병리학회지)

The Korean Society for Cytopathology (대한세포병리학회)
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Fine Needle Aspiration Cytology in the Diagnosis of Tuberculosis

결핵 진단의 세침 흡인 세포검사

  • Lee, Dong-Wha (Department of Anatomical Pathology Soonchunhyang University Hospital) ;
  • Jin, So-Young (Department of Anatomical Pathology Soonchunhyang University Hospital) ;
  • Koh, Eun-Suk (Department of Anatomical Pathology Soonchunhyang University Hospital) ;
  • Kwak, Chung-Ja (Department of Anatomical Pathology Soonchunhyang University Hospital)
  • 이동화 (순천향대학교 의과대학 부속병원 해부병리과) ;
  • 진소영 (순천향대학교 의과대학 부속병원 해부병리과) ;
  • 고은석 (순천향대학교 의과대학 부속병원 해부병리과) ;
  • 곽정자 (순천향대학교 의과대학 부속병원 해부병리과)
  • Published : 1990.06.30
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Abstract

A total of 48 cases of tuberculous lesion in the lymph nodes (43 cases), lung (3 cases) and soft tissue (2 cases), was subjected to fine needle aspiration cytology (FNAC). The age of the patients ranged from 19 to 77 year-old (average 33.6 years in age) and the male to female ratio was 1 : 4. Thirty-four cases (70.8%) demonstrated distinct granulomatous reaction with or without caseation necrosis, nine cases (18.8%) showed no granulomas, but large amount of necrotic debris with numerous polymorphonuclear cells and histiocytes, and five cases (10.4%) revealed acellular material only. The overall AFB positivity in smears was 62.5%. In areas associated with granulomatous reaction and necrosis, AFB positivity was 55.8%, while it was 80.0% in cases with acellular necrotic material. There were 2 cases of parasitic infestation which could not be easily differentiated from tuberculosis based on aspiration smears only.

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