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Titolo:
FINE-NEEDLE ASPIRATION (FNA) IN HIV- RESULTS FROM A SERIES OF 655 ASPIRATES( PATIENTS )
Autore:
ELLISON E; LAPUERTA P; MARTIN SE;
Indirizzi:
UNIV SO CALIF,DEPT PATHOL,NOR 2420,HLTH SCI CAMPUS LOS ANGELES CA 90033 UNIV SO CALIF,DEPT PATHOL LOS ANGELES CA 90033 UNIV SO CALIF,DEPT MED LOS ANGELES CA 90033
Titolo Testata:
Cytopathology
fascicolo: 4, volume: 9, anno: 1998,
pagine: 222 - 229
SICI:
0956-5507(1998)9:4<222:FA(IHR>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACQUIRED-IMMUNODEFICIENCY-SYNDROME; TUBERCULOUS LYMPHADENITIS; DIAGNOSIS; AIDS; BIOPSY; CYTOLOGY; DISEASE;
Keywords:
FNA; ASPIRATION; HIV; AIDS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
16
Recensione:
Indirizzi per estratti:
Citazione:
E. Ellison et al., "FINE-NEEDLE ASPIRATION (FNA) IN HIV- RESULTS FROM A SERIES OF 655 ASPIRATES( PATIENTS )", Cytopathology, 9(4), 1998, pp. 222-229

Abstract

There are many selected small series or case reports of FNAs in patients with HIV infection, but large series are rare and the epidemic's characteristics have evolved over time. The current study, from a largepublic hospital in the USA, included women as well as men, hetero- and homosexuals, in-patients and out-patients, and deep radiologically guided aspirates as well as superficial masses. Of 655 FNAs, reactive or benign changes were present in 37%, confirmed or suspected malignancy in 13%, specific infection with stainable organisms in 14%, and inflammation in 16%. Twenty percent of cases were inadequate for diagnosis. Most of the identifiable infections were associated with Mycobacterium tuberculosis, with fewer atypical mycobacteria, fungi and other bacteria. Clinically significant diagnoses were correlated with deep aspirate location and lesion size >2 cm, confirming other studies which also identified tenderness and recent enlargement as important indicators. The liberal use of FNA in our HIV+ population has greatly reduced the necessity for surgical nodal resection, reassured clinicians in continuing observation of reactive lymphadenopathy, and allowed immediatetherapy for specific infection, cyst or malignancy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 09:27:18