PART TWO
Diagnostic Cytology
Table 13.6
Presentation of Pulmonary Aspergillosis in Cytology
Clinical
Patient
Underlying disease
Presentation
Type of cytologic
specimen positive for
organisms
Comments
66 male
Acute myelogenous leukemia
Pulmonary infiltrates
FNA
Chemotherapy
3 female
Immunodeficiency disease
Mass in right upper lobe
FNA
69 male
Asbestosis
Areas of lung consolidation
FNA
Many ferruginous
bodies also present
71 male
Acute myelogenous leukemia
Bilateral pulmonary
infiltrates
Sputum
Chemotherapy and
steroids
58 male
Malignant lymphoma
Mass in left upper lobe
Bronchial brushings
20-month-old female
Immunodeficiency disease
Bilateral pneumonia
Bronchial washings
48 female
Adult respiratory distress syndrome
Bilateral air space disease
Sputum
15 male
Aplastic anemia
Pulmonary infiltrates
Bronchial washings
31 male
Sarcoidosis
Pulmonary infiltrates
Bronchial brushings
Steroids
59 male
Acute myelogenous leukemia
Pulmonary infiltrates
Bronchial washings
Chemotherapy
75 male
Chronic obstructive pulmonary disease
Pulmonary infiltrates
Sputum
Steroids and oxygen
67 female
Chronic obstructive pulmonary disease
Bronchitis
Sputum
53 male
Emphysema
Cavity right upper lobe
Sputum
Fruiting heads and
oxylate crystals present
62 male
Chronic alcoholism
Mass in right upper lobe
Sputum
15 female
Loffler's syndrome
Pneumonia
Sputum
55 female
Chronic bronchitis
Bronchitis
Sputum
44 male
Chronic obstructive pulmonary disease
Mass in right upper lobe
Sputum
64 male
Chronic obstructive pulmonary disease
Multiple lung cavities
Treated with steroids for
Pseudom onas
sepsis
70 male
Small cell undifferentiated carcinoma
Pneumonia
Bronchial washings
Chemotherapy
59 male
Rheumatoid arthritis and diabetes
mellitus
Pneumonia
Sputum
Steroids
60 male
Large cell undifferentiated carcinoma
Sputum
Fungus growing on
surface of tumor
FNA=fine-needle aspiration.
Fig. 13.53
Aspergillus.
Typical branching, septate hyphal fragments with
parallel cell walls. Bronchial brushing (Papanicolaou x OI).
Fig. 13.54 Fruiting heads of
Aspergillus
from a patient with a cavitary
squamous cell carcinoma colonized by
Aspergillus fum igatus.
Bronchial
washing (Papanicolaou x MP).
326
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