Analysis of cytomorphological pattern of lymph node aspirates in head and neck region by fine needle aspiration cytology
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 5
Abstract
Aim and Objectives: To study cytomorphological characteristics of lymph node swellings in head and neck region by FNAC. Material and Methods: The present study was carried on lymph node swelling in head and neck region in the Department of Pathology, B.V.D.U Medical College and Hospital, Sangli. Results: A total of 81 lymph node aspirates were studied among which non neoplastic lesions were more common comprising of 56 (69.04%) cases than neoplastic lesions which comprised of 25 (31.06%) cases. Among non neoplastic lesions, tubercular lymphadenitis was most common which comprised of 27 (33%) cases. The most common cytological pattern observed was presence of epithelioid cell granuloma and caseous necrosis (ECG+CN) in 10 (37%) cases of tubercular lymphadenitis. Overall AFB positivity was 37% and there was a female preponderance (Z=66.34 P=0.00). Most common neoplastic lesion was metastatic tumor deposit which comprised of 21 (25%) cases. Squamous cell carcinoma was the most common histologic subtype observed in metastatic tumor deposits and was more common in males (Z= 156.8 P=0.00) with male to female ratio of 1:0.2. Malignant lymphomas comprised of 4 (4.9%) cases. One of these was Hodgkin lymphoma and three were non Hodgkin lymphoma. Conclusion: FNAC is a minimally invasive first line investigation for the diagnosis of lymph node swelling in head and neck Region.
Authors and Affiliations
Yash R Kale, Pramila P Patil, Shobhana R Agashe
Keywords
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