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Acta Cytologica A Report of Two Cases with Diagnosis by Intraoperative Aspiration Cytology Vicki J. Schnadig, M.D., M.I.A.C., Christopher H. Rassekh, M.D., and William K. Gourley, M.D. BACKGROUND: Allergic fungal sinusitis (AFS) is a presumptive evidence for a noninvasive, allergic fungal newly recognized form of sinusitis characterized by disease and can help reassure clinicians intraoperatively opacification of the paranasal sinuses by “allergic and guide clinical management. (Acta Cytol 1999;43: mucin” (AM) admixed with 268–272) scattered fungal organisms. AM consists of necrotic, or Keywords: sinusitis, aller- Allergic fungal sinusitis differs partially necrotic, eosino- gy, aspiration biopsy, in- from invasive fungal sinusitis by phils and Charcot-Leyden traoperative period, aller- crystals suspended in lakes gic fungal sinusitis. the absence of bone and soft of laminated, mucinous ma- tissue invasion and absence of a terial. AFS is characterized In 1981, Millar described history of immunosuppression.... by the absence of bone or soft what is now known as al- tissue invasion, purulent ex- lergic fungal sinusitis udate or granulomatous in- (AFS) and noted its resem- flammation. Clinically, it is important to differentiate blance to allergic bronchopulmonary aspergillosis. 4,5 AFS from both acute invasive fungal sinusitis and non- In 1983, Katzenstein et al further defined
Acta Cytologica – Karger
Published: Jan 1, 2011
Keywords: sinusitis; allergy; aspiration biopsy; intraoperative; period; allergic
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