FINE-NEEDLE ASPIRATION CYTOLOGY OF PRIMARY KAPOSIS-SARCOMA OF LYMPH-NODES IN AN IMMUNOCOMPETENT MAN

This case report describes the fine-needle aspiration (FNA) findings o f primary lymphadenopathic Kaposi's sat-coma (KS) in a 44-year-old Afr ican heterosexual male who is immunocompetent and has no clinical or s erological evidence of the acquired immunodeficiency syndrome (AIDS) o r the endemic form of KS. The cytological findings emphasize the role of FNA in the diagnosis of KS and draw the attention to the fact that a diagnosis of KS in an African man is not synonymous with the diagnos is of AIDS or endemic/African KS. A description of other spindle cell intranodal lesions which may mimick KS is given with a discussion of t he differential diagnoses that should be considered in such cases by t he cytopathologist. (C) 1998 Wiley-Liss, Inc.