组织细胞坏死性淋巴结炎32例临床病理分析 |
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引用本文: | 倪代华,郭以宝.组织细胞坏死性淋巴结炎32例临床病理分析[J].医学理论与实践,2004,17(11):1262-1263. |
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作者姓名: | 倪代华 郭以宝 |
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作者单位: | 江苏省阜宁县人民医院病理科,224400 |
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摘 要: | 目的探讨组织细胞坏死性淋巴结炎(HNL)的临床病理学特点。方法回顾性分析32例HNL的临床资料,应用光镜观察其形态改变。结果病变淋巴结多位于颈部,呈轻、中度肿大(<3cm),男女之比为119,活检标本多破碎(22/32),形态特征为细胞碎片、增生的淋巴细胞及组织细胞构成大小不一凝固性坏死灶,无中性粒细胞。结论根据组织形态、细胞成分,组织细胞坏死性淋巴结炎可以明确诊断。
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关 键 词: | 组织细胞坏死性淋巴结炎 临床病理 鉴别诊断 |
修稿时间: | 2004年3月11日 |
Histiocytic Necrotizing Lymphadenitis:A Clinicopathological Study of 32 Cases |
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Abstract: | Objective: To study the clinical and pathological features of 32 cases of histiocytic necrotizing lymphadenitis(HNL).Methods:The clinical and histopathologic features of 32 cases of HNL were analyzed.Results: The most common symptoms were cervical lymphadenopathy.All the lymph nodes were mild to median size (<3cm).The female to male ratio was 1.9 to 1.0.Fragmentation of the biopsy was a frequent features (22/32).Morphologically,it was characterized by variable sized necrosis that composed of eosinophilic granular debris and basophilic karyorrhectic debris admixed with proliferated lymphoid and histiocytic cells,and neutrophils were absent.Conclusions: HNL can be diagnosed with confidence with the architectural features and characteristic cytologic composition. |
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Keywords: | Histiocytic necrotizing lymphadenitis Clinicopathology Differential diagnosis |
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