Fine Needle Aspiration Cytology of Lymphadenopathy in HIV-Infected Patients.
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Date
2014-01
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Abstract
To study the Fine needle aspiration cytology of lymphadenopathy in HIV-infected patients.Aspiration of
lymph nodes was done with a 21-23 gauge fine needle in 74 HIV positive patients with lymphadenopathy.
The smears were routinely stained with Papanicoloau, May Grünwald Giemsa, and Modified Ziehl-
Neelson stains. Periodic acid Schiff and Grocott's methanamine stain were used wherever necessary. The
most common cytological diagnosis was tubercular lymphadenitis (38 cases) followed by reactive hyperplasia
(22 cases) and acute lymphadenitis/abscess (8 cases). There was one case each of Non Hodgkin lymphoma
and metastatic carcinoma. 4 cases had unsatisfactory aspirates. The cytological diagnoses were concordant
with the histological diagnoses in 19 out of 20 cases in which subsequent biopsy was available. FNAC is a
very useful tool in the diagnosis of enlarged lymph nodes in HIV-infected patients. It is a quick, inexpensive,
outdoor procedure and suitable for developing countries like India. The technique has high diagnostic
accuracy.
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Keywords
Lymphadenopathy, HIV, FNAC
Citation
Gupta Priya, Singh Kuldeep. Fine Needle Aspiration Cytology of Lymphadenopathy in HIV-Infected Patients. JK Science Journal of Medical Education and Research. 2014 Jan-Mar; 16(1): 24-28.