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Contemporary management of cervical tuberculosis
K C Lee1, T A Tami, A K Lalwani
1Department of Otolaryngology, San Francisco General Hospital, University of California 94110.
The Laryngoscope
|January 1, 1992
Summary
Fine needle aspiration biopsy (FNAB) is a useful initial diagnostic tool for cervical tuberculosis (TB). This method aids in diagnosis and allows for effective medical management, reducing the need for excisional biopsy.
Area of Science:
- Infectious Diseases
- Oncology
- Pulmonology
Background:
- Cervical tuberculosis (TB) diagnosis traditionally relied on excisional biopsy.
- Fine needle aspiration biopsy (FNAB) has emerged as a valuable alternative diagnostic method.
Purpose of the Study:
- To evaluate the utility of FNAB in diagnosing cervical TB.
- To assess the management and outcomes of patients with cervical TB.
Main Methods:
- Retrospective review of 47 patients diagnosed with cervical TB between 1984 and 1988.
- Analysis of diagnostic yield of FNAB and excisional biopsy.
- Assessment of treatment outcomes with medical therapy.
Main Results:
- Chest x-rays were normal in 58% of patients; 96% had positive purified protein derivative (PPD) skin tests.
- FNAB suspected TB in 83% and definitively diagnosed it in 62% of cases.
- Medical therapy alone achieved resolution in 94% of FNAB-diagnosed patients, with only one requiring subsequent excisional biopsy.
Conclusions:
- FNAB is a valuable initial procedure for diagnosing cervical TB.
- Excisional biopsy is best reserved for cases where FNAB is inconclusive or disease persists despite chemotherapy.