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Acta Cytologica Utility of Repeat Fine Needle Aspiration in Acute Suppurative Lesions Follow-up of 263 Cases Neeta Kumar, M.D., Shyama Jain, M.D., and N. S. Murthy, M.Sc., Ph.D. OBJECTIVE: To determine the clinical value of repeat without granulomas or AFB on the first FNA should be fine needle aspiration (FNA) as a follow-up strategy in reevaluated by follow-up FNA and staining for AFB. the management of patients This will enhance the diag- in India, clinically suspected nostic yield of tuberculosis in of having tuberculosis (TB) developing countries, where Our data emphasize the need to but showing a cytologic pic- molecular diagnostics are too perform multiple passes to avoid ture of acute suppuration. costly or unavailable. This STUDY DESIGN: Repeat procedure is cost effective as sampling errors, especially if a mass aspirates from 263 patients compared to biopsy and cul- is soft and fluctuant, indicating presenting with lymph node ture. In addition to tubercu- or soft tissue masses were an- losis, many unexpected non- suppuration.... alyzed. The previous FNA of tubercular lesions may also these cases had shown acute be unmasked. Repeat FNA inflammatory exudate but no epithelioid granuloma or reduces sampling and screening errors, improves sensi- acid-fast bacilli (AFB).
Acta Cytologica – Karger
Published: Jan 1, 2011
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