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首页> 外文期刊>International Journal of Research in Medical Sciences >Role of aspiration cytology in splenic lesions
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Role of aspiration cytology in splenic lesions

机译：抽吸细胞学检查在脾脏病变中的作用

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Background: Splenic fine needle aspiration cytology (FNAC) as a diagnostic procedure has been used since beginning of last century and was first reported in 1916. The objective of the study was to evaluate the diagnostic role of aspiration cytology in splenic lesions. Methods: In our retrospective study Fine needle aspiration cytology (FNAC) of spleen was done in a total 34 cases, out of which 28 cases were aspirated under ultrasonological guidance and 6 cases were aspirated blindly. There were 23 male and 11 female patients and the age range of the patients was from 2 to 69 years with 8 patients from paediatric group. Before commencing the procedure all the necessary precautions and investigations including coagulation profile were done. Results: Out of 34 FNAC cases, 5 were bloody aspirate while 2 cases showed normal splenic aspirate. In 27 cases definite diagnostic opinion was possible. Amongst non-neoplastic group maximum patients (8 cases) were showing features of extra medullary hematopoeisis followed by 4 cases of tuberculosis, then 3 cases each of kala azar and storage disorder and 2 cases showed granulomas. In the neoplastic group, we had 2 cases of non-Hodgkins lymphoma, one case of Hodgkin lympoma with 2 cases of hairy cell leukemia and one case of histiocytosis. No major difference in the cellularity noticed when the aspiration done blindly or under ultrasound guidance No procedural complications were seen in our study. Conclusion: Hence when done with full precautions FNAC spleen is a safe, cheap, rapid and highly diagnostic procedure as a primary investigation.
机译：背景：脾脏细针穿刺细胞学检查（FNAC）自上世纪初以来已被使用，并于1916年首次报道。该研究的目的是评估穿刺细胞学检查在脾脏病变中的诊断作用。方法：回顾性研究脾脏细针穿刺细胞学检查（FNAC）共34例，其中超声引导下抽吸28例，盲目抽吸6例。男性23例，女性11例，年龄在2〜69岁，小儿8例。在开始该程序之前，已进行了所有必要的预防措施和调查，包括凝血曲线。结果：在34例FNAC病例中，有5例为血性抽吸，而2例为脾性正常。在27例病例中，明确的诊断意见是可能的。在非肿瘤组中，最多的患者（8例）表现出髓外造血的特征，其次是肺结核4例，然后是黑热病和贮藏障碍各3例，肉芽肿2例。在肿瘤组中，我们有2例非霍奇金淋巴瘤，1例霍奇金淋巴瘤，2例毛细胞白血病和1例组织细胞增生。盲目抽吸或在超声引导下进行抽吸时，在细胞性上没有发现重大差异。在我们的研究中未见任何程序并发症。结论：因此，如果采取充分的预防措施，作为主要研究对象，FNAC脾脏是安全，便宜，快速且高度诊断的程序。

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