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J Clin Pathol 53:355-361 doi:10.1136/jcp.53.5.355

Comparison of in house polymerase chain reaction with conventional techniques for the detection of Mycobacterium tuberculosis DNA in granulomatous lymphadenopathy

Table 2

Results of culture, AFB smear, histology, cytology, and PCR analysis for 90 specimens of lymph node aspirate and lymph node tissue

Number of positive specimens/number of specimens tested (%)
Method TBLN (n = 22) NTL (n = 14) GLA (n = 9)
p < 0.00001 for overall PCR v overall culture.
p < 0.002 for overall PCR v overall AFB smear.
p < 0.05 for histology + culture v cytology + culture.
p not significant for biopsy histology + culture v biopsy PCR.
p not significant for FNA cytology + culture v FNA PCR.
Final results after repeat PCR are provided in the table; after the first PCR 10 each of FNA and biopsy specimens were positive and 13 patients with TBLN were positive.
AFB, acid fast bacilli; FNA, fine needle aspirate; GLA, granulomatous lymphadenitis; NTL, non-tubercular lymphadenitis; PCR, polymerase chain reaction; TBLN, tuberculous lymphadenitis.
Culture
Overall 6/44 (15) 0/28 0/18
Tissue biopsy 4/22 (19) 0/14 0/9
FNA 2/22 (9) 0/14 0/9
AFB smear
Overall 9/44 (20) 0/28 0/18
Tissue biopsy 5/22 (23) 0/14 0/18
FNA 4/22 (18) 0/14 0/18
Tissue histology 13/22 (59) 0/14 7/9 (78)
Histology + culture 17/22 (77) 0/14 7/9 (78)
FNA cytology 7/22 (32) 0/14 5/9 (56)
Cytology + culture 9/22 (41) 0/14 5/9 (56)
PCR
Overall 27/44 (61) 2/28 (7) 9/18 (50)
Tissue biopsy 15/22 (68) 1/14 (7) 4/9 (44)
FNA 12/22 (55) 1/14 (7) 5/9 (56)

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