RESUMO
A clinico-morphological analysis of two observations of cryptococcomas of the lungs are presented. In one case the diagnosis was established on the basis of cytological examinations of the sputum. This form of pulmonary cryptococcosis as well as identification of cryptococci in the sputum by cytological examinations are first described in the Soviet literature. The attention is drawn to the difficulties of clinico-roentgenological and morphological diagnosis of this disease and to the necessity to differentiate it from metastases of hyperneophroma, diseases of parasitic origin, and mycoses by other fungi.
Assuntos
Criptococose/patologia , Pneumopatias Fúngicas/patologia , Pulmão/patologia , Adulto , Brônquios/patologia , Criptococose/microbiologia , Cryptococcus neoformans , Feminino , Humanos , Pulmão/microbiologia , Linfonodos/microbiologia , Linfonodos/patologia , Masculino , Reação do Ácido Periódico de Schiff , Escarro/microbiologia , Coloração e RotulagemRESUMO
Cytological investigations of the bronchial secretion and sputum in particular have acquired in recent years a great practical significance in pulmonary pathology. It is recommended to use cytodiagnosis along with prophylactic X-ray examinations of the population to detect pulmonary pathology, in particular among individuals with a higher risk of developing cancer. A substantiated opinion is put forward that cytodiagnosis should precede examinations of patients with clinico-roentgenologically confirmed changes in the lungs.