被误诊为结核淋巴结炎的Kikuchi-Fujimoto病:宫淋巴结中的一个难题
Kshiroda Chandra Sahoo1, Ananda Datta2
1Department of Pulmonary Medicine, IMS and Sum Hospital, Bhubaneswar, Odisha, India.
Journal of family medicine and primary care
|October 3, 2025
概括
基库奇-富士门氏病 (KFD) 呈现为部淋巴腺病. 诊断可能会因不确的细胞学推迟,导致不必要的结核病治疗和潜在的不良反应.
科学领域:
- 病理学 病理学 病理学
- 免疫学 免疫学 免疫学
- 内部医学 内部医学
背景情况:
- 基库奇-富士门氏病 (KFD) 是一种罕见的良性淋巴腺病.
- 宫淋巴腺病是它最常见的表现.
- 组织病理学是诊断的,但初始细针吸收细胞学 (FNAC) 往往是不确定的.
研究的目的:
- 为了突出KFD的诊断挑战.
- 为了强调经验性抗结核治疗 (ATT) 在含糊不清的细胞学病例中的风险.
- 讨论误诊可能造成的延迟和不良影响.
主要方法:
- 一个36岁的女性患有宫淋巴腺病的病例介绍.
- 最初的FNAC给出了不确定的结果.
- 在经验ATT失败后,通过切除肺活检确认了KFD的诊断.
主要成果:
- 实证ATT是由于不确定的FNAC和肺结核的怀疑而启动的.
- 患者在ATT下没有得到改善,这促使进一步调查.
- 切除肺活检证实了KFD.
结论:
- 宫淋巴腺病的模两可的FNAC发现可以导致经验性的ATT启动.
- 这种诊断途径可以延迟KFD管理,并导致与ATT相关的不良反应.
- 组织病理学检查对于准确的KFD诊断至关重要.
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