Download File - ราชวิทยาลัย โสต ศอ นาสิกแพทย์ แห่งประเทศไทย

50วารสาร หู คอ จมูก และ ใบหน้าปีที่ 10 ฉบับที่ 4 ต.ค. - ธ.ค. 2552ความสอดคล้องของการตรวจพบต่อมนำา้เหลืองอักเสบชนิดแกรนูโลม่า โดยหัตถการเจาะดูดด้วยเข็มเล็กConcordance of Granulomatous Lymphadenitis between Fine Needle AspirationTechnique and Tissue Histological Biopsy in Charoenkrung Pracharak HospitalSuksan Kitisupakorn*,Sirisanpang Yodavudh MD**AbstractObjective : Determine the concordance between the granulomatous lymphadenitis by fine needle aspirationtechnique and tissue histological biopsy in Charoenkrung Pracharak Hospital.Material and method : Descriptive retrospective study of fine needle aspiration and tissue biopsy oflymph nodes from Department of Pathology in Charoenkrung Pracharak Hospital during January1999 to December 2009 were analysed. The concordance agreement by Kappa statistic between thegranulomatous lymphadenitis by fine needle aspiration technique and tissue histological biopsy werestudied with comparative analyses of gender, age groups (cut point 40 years old).Result : Four hundred and seventy four fine needle aspiration was done, but only 142 patients hadtissue biopsied confirmation. Patient’s characteristic composed of 226 men (47.68%) and 248 women(52.32%) ranging from 5 to 89 years in age (mean age =35.87) with 1: 1.09 of male : female ratio.One hundred and forty two patients that had tissue biopsied were 59 female ( 74.68%) and 20 male(25.32%) . Female : male ratio was 2.95:1. Age group ≤ 40 years old 70 case (55.63%) and agegroup >40 years old 9 case (11.39%). In study tissue biopsy of granulomatous lymphadentis, statisticallysignificant between male and female (p