在艾滋病毒和结核流行地区的淋巴结切除活检的诊断途径
Camagu Potelwa1, Sheree Gray2, Francois Malherbe3
1Department of Medicine, Faculty of Health Sciences, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa.
Southern African journal of HIV medicine
|November 7, 2025
概括
持续性淋巴腺病的诊断延迟在西开普州很常见. 改善诊断途径,包括及时活检,对于准确和及时诊断结核病,淋巴瘤和癌症等疾病至关重要.
科学领域:
- 医学诊断 医学诊断 医学诊断
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
背景情况:
- 西开普省的持续性淋巴结核病常常导致人们关注肺外结核病 (EPTB).
- 这种诊断重点可以延迟识别淋巴腺病的其他传染性或恶性原因.
研究的目的:
- 评估Groote Schuur医院对淋巴腺病症进行检查的患者的诊断途径.
- 评估预活检诊断途径对诊断延迟的影响.
主要方法:
- 进行淋巴结切除活检的患者的回顾性审查.
- 活检前测试选择和结果与最终诊断的相关性.
- 评估从呈现到活检的诊断延迟.
主要成果:
- 在没有先前诊断的患者中,非肺结核 (24.6%) 是最常见的诊断.
- 淋巴瘤 (21.3%) 和转移性癌症 (14.8%) 也是重要的发现.
- 切除活检的诊断延迟中位数为55天;细针吸收 (FNA) 往往是非诊断或未充分利用的.
结论:
- 结构不良的诊断途径导致医疗保健的使用和可治疗疾病的诊断延迟.
- 在适当的检查后,及早获得活检对于准确诊断无法解释的淋巴腺病症至关重要.
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