Dr Rina Kumari, Dr Dhanesh kumar, Dr R . K. Mishra


Tuberculosis is the commonest infectious disease in the developing world. Many diagnostic tests are
devised for its detection including direct smear examination. This study was designed to corelation b/w
AFB positive and patients diagnosed to have granulomatous inammation on Fine Needle Aspiration Cytology using special
Materials and Methods: A descriptive cross-sectional survey was done on 100 cases of granulomatous inammation consistent
with tuberculosis diagnosed on ne needle aspiration cytology at the Department of Pathology, JLNMC, Bhagalpur.After
reporting granulomatous inammation on giemsa staining of aspirates from FNAC, unstained slides were subjected to special
stains, like ZN. Cases positive for AFB on ZN stain were noted down along with their frequency and percentages.
Results: Forty-four cases (62.85%) of AFB positive smears were reported as TB while 26(37.14%) cases were AFB positive were
m.tuberculosis negative . Cervical lymph nodes were the most commonly involved site (60%) and males(60%) were affected
more (40%) than females. Most cases of AFB-positive smears were associated with epitheloid granuloma wth caseation
necrosis (60%)followed by only caseous necrosis(30%)andepitheloid granuloma(10%).
Conclusion: Special stains should be done on all granulomatous inammation cases seen on FNAC for conrmation of TB


FNAC, Granulomtous,AFB Positive TB

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