<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-6499</journal-id>
<journal-title><![CDATA[Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port ORL]]></abbrev-journal-title>
<issn>2184-6499</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-64992022000400295</article-id>
<article-id pub-id-type="doi">10.34631/sporl.1025</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Turberculose ganglionar: Proposta de protocolo de atuação]]></article-title>
<article-title xml:lang="en"><![CDATA[Tuberculous lymphadenitis: Proposal of a protocol]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lopes]]></surname>
<given-names><![CDATA[Mariana Branco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Filipa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Cláudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[André]]></surname>
<given-names><![CDATA[Carla]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Antunes]]></surname>
<given-names><![CDATA[Luís]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Garcia de Orta  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>60</volume>
<numero>4</numero>
<fpage>295</fpage>
<lpage>300</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-64992022000400295&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-64992022000400295&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-64992022000400295&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A tuberculose ganglionar (TG) é uma das formas de apresentação mais frequente de tuberculose extrapulmonar, sendo também a mais comum na área de cabeça e pescoço.  Objetivos:  Apresentar casos de TG cervical diagnosticados no Serviço de Otorrinolaringologia do Hospital Garcia de Orta, analisando as dificuldades no diagnóstico através de citologia aspirativa com agulha fina. Proposta de protocolo de atuação com obtenção de amostra através de biópsia excisional, para posterior análise histológica, cultural e molecular.  Material e Métodos:  Estudo retrospetivo. Análise descritiva dos casos de TG cervical diagnosticados no Serviço de Otorrinolaringologia do Hospital Garcia de Orta com consulta dos processos clínicos.  Resultados e Conclusões:  Foram analisados 7 casos diagnosticados com TG cervical. Os doentes eram, na sua maioria, do sexo feminino e imunocompetentes. Para esclarecimento do diagnóstico definitivo foi necessária, em todos os casos, a realização de biópsia excisional de gânglio cervical com estudo histológico, cultural e molecular (pesquisa de ADN de micobactérias por PCR) da amostra. Na maioria dos casos a definição do diagnóstico definitivo só foi possível com a combinação dos resultados histológicos e moleculares. Os autores propõem que em casos suspeitos de TG cervical, após exclusão de malignidade por CAAF, seja realizada biópsia excisional com estudo histológico, cultural e molecular. Esta forma de atuação, aumentará, assim, a probabilidade de um diagnóstico correto e atempado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Tuberculous lymphadenitis (TL) is one of the most common forms of extrapulmonary tuberculosis. It&#8217;s also the most frequent manifestation in head and neck region.  Objectives:  Present cases of cervical TL diagnosed in ENT department of Hospital Garcia de Orta. Propose of a protocol of diagnostic investigation, with focus on excisional biopsy to get material to histological, cultural, and molecular study.  Material and Methods:  Retrospective study. Descriptive analysis of cases of TL diagnosed in ENT department of Hospital Garcia de Orta with consultation of clinical records.  Results and Conclusions:  This study analyzed 7 cases diagnosed with cervical TL. The patients were mostly female and immunocompetent. The definitive diagnosis was only possible after excisional biopsy of an adenopathy and its histological, cultural and molecular (nucleic acid amplification test PCR) examination. In most cases, the diagnose was only possible with combination of histological and molecular results. The authors propose that in suspected cases, after exclusion of malignancy with CAAF, it should be performed an excisional biopsy with histological, cultural and molecular analyses. This form of actuation will enhance the probability of a correct and prompt diagnosis.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Tuberculose ganglionar]]></kwd>
<kwd lng="pt"><![CDATA[diagnóstico atempado]]></kwd>
<kwd lng="pt"><![CDATA[PCR]]></kwd>
<kwd lng="pt"><![CDATA[Polimerase chain reaction]]></kwd>
<kwd lng="pt"><![CDATA[Mycobacterium tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[Tuberculous lymphadenitis]]></kwd>
<kwd lng="en"><![CDATA[Early Diagnosis]]></kwd>
<kwd lng="en"><![CDATA[Polimerase chain reaction]]></kwd>
<kwd lng="en"><![CDATA[Mycobacterium tuberculosis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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