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Histiocytic necrotizing lymphadenitis diagnosed by conventional cytology and liquid based cytology.
[hodgkin lymphoma, classical]
Histiocytic
necrotizing
lymphadenitis
(
HNL
;
Kikuchi-
Fujimoto
disease
)
is
a
rare
benign
disorder
.
The
diagnosis
of
HNL
is
established
on
recognizing
the
characteristic
histologic
findings
from
biopsy
of
the
enlarged
lymph
nodes
.
Though
diagnosis
of
HNL
by
fine-needle
aspiration
(
FNA
)
was
reported
,
the
characteristic
fine-needle
aspiration
cytologic
features
with
conventional
cytology
and
a
liquid
based
cytology
test
(
LCT
)
have
not
been
well
documented
.
In
this
study
,
42
cases
of
suspicious
necrotic
lymph
nodes
were
subjected
to
cytology
and
biopsy
diagnosis
.
The
lymph
nodes
were
aspirated
using
a
10
mL
disposable
syringe
with
the
percutaneous
ultrasound
guided
.
Samples
were
used
for
conventional
cytology
and
LCT
.
Among
42
cases
of
suspicious
necrotic
lymph
nodes
,
37
of
cases
were
histologically
confirmed
as
HNL
;
3
of
cases
were
hyperplasia
of
lymphoid
tissue
;
1
case
was
tuberculosis
of
lymph
node
,
and
1
case
was
classical
Hodgkin
lymphoma
(
nodular
sclerosis
type
)
.
31
out
of
37
(
83
.
8
%
)
cases
of
HNL
were
diagnosed
by
conventional
cytology
,
33
out
of
37
(
89
.
2
%
)
were
diagnosed
by
LCT
.
Our
results
indicate
that
no
significant
difference
on
accuracy
rate
between
conventional
cytology
and
LCT
,
but
LCT
has
its
advantages
in
the
diagnosis
of
HNL
.
Diseases
Validation
Diseases presenting
"hyperplasia of lymphoid tissue"
symptom
hodgkin lymphoma, classical
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