Utility of Fine-needle aspiration cytology in diagnosis of lymphocutaneous sporo-trichosis

Kavita Mardi, Pooja Chauhan

Abstract


Objective: Isolated  case reports describing the utility of  Fine Needle Aspiration Cytology (FNAC) in the diagnosis of Lymphocutaneous sporotrichosis are available in the literature.Since Himachal Pradesh in India is a known endemic area for cutaneous sporotrichosis, this study was conducted to asses the utility of FNAC in the detection of fugal spores for the  diagnosis of lymphocutaneous sporotrichosis.Methods: FNAC and biopsy were performed  from the nodules and indurated ulcers of  fifty  clinically diagnosed cases of lymphocutaneous sporotrichosis. Smears were reviewed for cytomorphological findings and were correlated with the histopathological findings. Positive cases were further subjected to culture for confirmationResults: In our study, the sensitivity and specificity of FNAC in diagnosing lymphocutaneous  sporotrichosis were  35% and 100% respectively. The sensitivity and specificity of  biopsy in diagnosing lymphocutaneous  sporotrichosis were 10%  and 100% respectively. All seven cases diagnosed on  FNAC were confirmed on fungal culture.

Conclusions: FNAC is an effective, useful and a minimally invasive procedure. FNAC is comparatively better than biopsy in detection of fungal spores in the diagnosis of lymphocutaneous sporotrichosis.With an experienced cytologist, it can be used routinely for the diagnosis for lymphocutaneous sporotrichosis.


Keywords


FNAC, Cytology, sporotrichosis, lymphocutaneous

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DOI: http://dx.doi.org/10.7439/ijbr.v8i5.4153

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