Clinico-Pathological Profile of Peripheral Lymphadenopathy In Pediatric Age Group- Our Hospital Experience
Journal Title: PARIPEX-Indian Journal of Research - Year 2016, Vol 5, Issue 4
Abstract
Background: Peripheral lymphadenopathy (PL) is a common clinical entity in pediatric practice. Several studies have attempted to identify various characteristics, which may provide useful information to determine the etiology of lymphadenopathy in children. Still a significant number of patients remain with persistent lymphadenopathy, in which the etiology is unclear. Hence in this communication; the present study was taken up. Objective: The present study was undertaken to completely evaluate the child with lymphadenopathy and arrive at etiological diagnosis with special emphasis on role of FNAC in categorizing different types of lymphadenopathy in children. Materials and methods: A two year prospective study was conducted in the dept. of pathology ESIC Medical College PGIMSR Rajajinagar, Bangalore. Totally hundred children (≤18 years) with significant peripheral lymphadenopathy were studied with FNAC and subsequent biopsy wherever available. Relevant clinical data was analyzed. Results: Mean age of the children with peripheral lymphadenopathy was 11 years (132 months).. Most common presenting complaint was swelling alone (46%). Cervical (77%) was commonest lymphnode group involved. FNAC in categorizing different types of lymphadenopathy in children revealed majority were non-neoplastic (95%), of which reactive lymphadenitis was the commonest (47.3%) followed by granulomatous lymphadenitis (23.1%), tubercular lymphadenitis (20%), suppurative (4.2%) and necrotizing lymphadenitis (1.05%). Rest 5% cases were neoplastic comprising of non- Hodgkin Lymphoma (60%) with high frequency followed by Hodgkin Lymphoma (20%) and metastasis (20%) from papillary carcinoma thyroid. Conclusion: FNAC of lymph nodes is a first line method, for investigating the nature of the lesions, as it is economical and convenient alternative to open biopsy.
Authors and Affiliations
Dr. Radha. M, Dr V. Srinivasa Murthy, Dr K Geethamala
Keywords
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