혈청학적 양성 톡소플라즈마 림프절염의 세침흡인세포검사와 절개생검 결과

Backgrounds and Objectives: Toxoplasmosis is a common cause of cervical lymphadenopathy and histopath- ological specimens needed for establishing diagnosis, the diagnosis of toxoplasmic lymphadenopathy should always be confirmed by isolation of the parasite or by serologic test. The use of fine needle aspiration cytology (FNAC) in the investigation of lymphadenopathy is minimally invasive and has become an worldwide acceptable technique. We compare the results of FNAC and excisional biopsy in seropositive toxoplasmic lymphadenitis, to determine the importance of excisional biopsy and serologic test for toxoplasmosis. Materials and Methods: A retrospective chart review of 12 patients (7 underwent only FNAC, 4 underwent both FNAC and excisional biopsy, remaining 1 was only excisional biopsy case) was carried out. Results: Only 36.3% of FNAC group match toxoplasmic lymphadenitis, but excisional biopsy group is reliable to toxoplasmic lymphadenitis. Conclusions: When FNAC result of solitary cervical lymphadenitis is obscure, the excisional biopsy and serologic test for toxoplasma is always helpful for establishing diagnosis of toxoplasmosis. (J Clinical Otolaryngol 2012;23:237–242)