CAJ | 학술논문

目的：总结猫抓病性淋巴结炎的临床病理特征,探讨其病理诊断及鉴别诊断。方法：收集我院病理科2005年5月到2014年1月的猫抓病性淋巴结炎66例,对其临床病理资料进行回顾性分析,所有病例均行HE染色及Warthin-Starry(W-S)染色。结果：本组66例患者中男性39例,女性27例(男∶女=1．44∶1),年龄分布从6~72岁(中位年龄40岁),41例患者有被猫、狗、老鼠等小动物抓伤或咬伤的病史,病史从10天到3月不等。18例患者有发热,累及淋巴结的部位包括肘部、腋窝、颈部等。39例患者W-S染色查见阳性杆菌。结论：猫抓病性淋巴结炎容易被临床误诊肿瘤性或其它炎性病变。对于淋巴结肿大的患者临床医生须详细询问病史,病理诊断须结合HE及WS染色及其它特殊染色进行诊断及鉴别诊断。
목적：총결묘조병성림파결염적림상병리특정,탐토기병리진단급감별진단。방법：수집아원병이과2005년5월도2014년1월적묘조병성림파결염66례,대기림상병리자료진행회고성분석,소유병례균행HE염색급Warthin-Starry(W-S)염색。결과：본조66례환자중남성39례,녀성27례(남∶녀=1．44∶1),년령분포종6~72세(중위년령40세),41례환자유피묘、구、로서등소동물조상혹교상적병사,병사종10천도3월불등。18례환자유발열,루급림파결적부위포괄주부、액와、경부등。39례환자W-S염색사견양성간균。결론：묘조병성림파결염용역피림상오진종류성혹기타염성병변。대우림파결종대적환자림상의생수상세순문병사,병리진단수결합HE급WS염색급기타특수염색진행진단급감별진단。
Objective: To summary the clinicopathological features of cat-scratch lymphadenitis and discuss it’ s pathological diagnosis and differential diagnosis. Methods:Clinicopathological data of 66 cases of cat-scratch lymphadeni-tis in our hospital from May 2005 to Jan 2014 were studied retrospectively. HE and special stain ( Warthin-starry) were conducted. Results:Thirty-nine males and 27 females(M∶F=1. 44∶1)were included in this study and their ages ranged from 6Y to 72Y(median 40Y) . Forty-one cases had the history of having been bitten or scratched by small animals such as mouses, cats and dogs. The history ranged from 10d to 3M. Eighteen cases had got a fever. The lymphonode sites involved included elbow, axilla, and cervix,et al. The short pleomorphic bacllis were found in 39 cases with Warthin-starry stain. Conclusion:It is easy to misdiagnose cat-scratch lymphadenitis as other tumors or inflammatory lesions. Clinical physi-cians should get detailed history if the patient had lymphadenopathy. To make diagnosis and differential diagnosis, HE, WS staining or other special staining should be conducted.