Handling Of FNAB (fine Needle Aspiration Biopsy) Results?
Good afternoon … I just got the examination results from the Anatomical Pathology Installation … the results are as follows: Macroscopic: FNAB a / r colli (submandibula) consists of reddish aspirates. necrotic mass and mature lymphocyte cells. Core within normal limits. Among these are epitelioid cells and several multinucleated cells. No visible signs of malignancy. Conclusion: Lymphadenitis Tuberculosis a / r lymph node (submandibular) sinistra So, does this disease have to undergo surgery ?? Or just given medicine ?? Thank you
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FNAB (fine needle aspiration biopsy) examination is carried out by taking tissue samples from a mass to then be evaluated microscopically for its constituent cell types in the anatomic pathology laboratory. This examination is included in the type of supporting examination. Therefore, the interpretation is only appropriate by comparing the results of history taking (structured medical interviews), physical examinations, and other investigations carried out (in your case, for example sputum examination, blood, x-rays, ultrasound, etc.).
At a glance, from the FNAB results you describe, you have lymphadenitis tuberculosis, which is inflammation of the lymph nodes due to infection with Mycobacterium tuberculosis. This condition occurs in your lymph nodes located in the left neck area. By ordinary people, this condition is often referred to as glandular TB.
Clinically, glandular TB sufferers often find lumps (such as in the neck, armpit, or groin) of the size of marbles, which are chewy, easily movable, and often inflamed, so that they become swollen, painful, warm, reddish, or even secondary infected so that they are secondary contains pus. These complaints often appear accompanied by fever and excessive sweating at night that does not heal, weight that is difficult to rise, decreased appetite, weakness, fatigue, and many other complaints.
The diagnosis of glandular TB is ideally made not only based on the results of the FNAB examination, but, as mentioned above, must also be confirmed by anamnesis and other tests performed. Therefore, it is more appropriate if your condition is consulted directly with your doctor, internal medicine specialist, or anatomic pathologist who is examining. If it is true that your condition is glandular TB, often this condition can improve with medication. However, if the infected gland has symptoms of inflammation that are severe enough, so that the potential to spread inflammation to other areas of the body, the doctor may also recommend that surgery be carried out in coordination with a surgeon.
Hope this helps ...