สาเหตุของก้อนบริเวณลำคอของผู้ป่วยที่ติดเชื้อ HIV ซึ่งมารับการรักษาที่โรงพยาบาลสมุทรสาคร

ศึกษาโดยการใช้เข็มขนาดเล็กเจาะตรวจ

บทคัดย่อ

During March 1, 1995 to June 10, 1996, 132 patients came to the Division of Otolaryngology, Samutsakhon hospital with neck mass. Thirty patients with positive Elisa test for HIV antibody were studied by Fine Needle Aspiration (FNA). Twenty one patients with HIV-ve were also studied by FNA as a control group. Cytopathologic examination together with Ziehl-Neelsen stain for AFB revealed that in the HIV+ve group, 14 cases (46.67%) were found to be tuberculous lymphadenitis. Six cases (20%) were suspicious of tuberculous lymphadenitis. Six cases (20%) were nonspecific lymphadenitis. Two cases (6.67%) were sialedenitis. One case has papiIlary_tumour, and one case was Nocardiasis. ln the HIV-ve group 4 cases (19.05%) were distant metastasis. Four cases were benign thyroidal tumour. Four cases were suspected of tuberculous lymphadenitis. One case (4.76%) had tuberculous lymphadenitis. One case had thyroidal malignancy. One case was suspected of lymphoma, and 6 cases (28.57%) was non specific. The result clearly revealed that the leading cause of neck mass in HlV+ve patients was tuberculous lymphadenitis, while distant metastasis was one of the leading cause in the HIV-ve group. Both cytopathologic examination and Ziehl-Neelsen stain were essential to the interpretation of the FNA results.