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Paediatric Lymphadenopathies

机译:儿科淋巴结病

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Lymphadenopathies frequently occur in children. Roughly half of children in good health have palpable lymph nodes (LNs), and relevant LN enlargements (LNe) may occur after mild infections and even without a relevant clinical background [1-6]. Reactive LNe account for approximately 75% of paediatric and 25% of adult lymphadenopathies; therefore, the clinical relevance of LNe in children is different compared to adults [3]. Nonetheless, the persistence of LNe in children may worry parents and paediatricians; therefore, enlarged LN are often removed and, in most cases, histology reveals reactive unspecific processes. As in the case of adults, fine-needle cytology (FNC) can diagnose most paediatric lymphadenopathies, provided that the cytopathologists are informed of the clinical data, perform the FNC and rapid on-site evaluation (ROSE) personally, and are aware of the specificities of paediatric pathology.
机译:淋巴结病经常发生在儿童中。 良好健康状况的大约一半的儿童具有可触及的淋巴结(LNS),并且在轻度感染后可能发生相关的LN扩大(LNE),即使没有相关的临床背景[1-6]。 反应性LNE占儿童儿科和25%的成人淋巴结病的75%; 因此,与成年人相比,LNE在儿童中的临床相关性与[3]不同[3]。 尽管如此,儿童LNE的持久性可能会担心父母和儿科医生; 因此,往往被移除扩大的LN,并且在大多数情况下,组织学揭示了反应的非特异性过程。 与成人一样,细针细胞学(FNC)可以诊断大多数儿科淋巴结病,只要缩细胞病变就被告知临床数据,就可以亲自执行FNC和快速现场评估(玫瑰),并意识到 小儿病理学的特异性。

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