FNAC AS A SIMPLE TOOL FOR THE DIAGNOSIS OF SUPERFICIAL LYMPHADENOPATHY- A STUDY IN AN INSTITUTE IN THE NORTH-EASTERN STATES OF INDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 11
Abstract
BACKGROUND Enlargement of lymph nodes is called lymphadenopathy. Superficial lymphadenopathy is a common presentation in clinical practice. Fine needle aspiration cytology (FNAC) is simple, reliable and easily acceptable to the patients and has an important role in the diagnosis of superficial lymphadenopathies. MATERIALS AND METHODS The present study is a retrospective analysis of 378 cases of enlarged, superficial lymph nodes referred to the Department of Pathology, JNIMS (Manipur), for a period of four years i.e. January 2013 to December 2016. We aim to present the various cytomorphologic diagnosis of these cases. RESULTS Our study observed that non-specific reactive lymphadenopathy was the most common pathology and was seen in 176 cases (46.56%), most common in the age group of 11 to 20 years and among females the occurrence of tubercular lymphadenopathy was also quite high and was seen in 122 cases (32%) constituting the second most common presentation. Acute suppurative lymphadenitis made up 47 cases (12.43%). Both tubercular and suppurative lymphadenopathies were seen most commonly in the age group of 21 to 30 years and also common among females. Metastatic lymph nodes were found in the age group above 60 years and constituted 19 cases (5.02%) and was seen more commonly among the male patients. Malignant lymphomas were seen commonly in the age group of 50 to 60 years, non-Hodgkin’s lymphoma made up 11 cases (2.9%) with female preponderance, while Hodgkin’s lymphoma was seen in only 3 cases (0.79%) and more common among males. We also observed that in all these cases cervical lymphadenopathy was the most common presentation constituting 292 cases (77.24%). CONCLUSION Superficial lymphadenopathy is a common clinical presentation. The underlying cause can vary from a curable inflammatory lesion to a fatal malignant lesion. In this study, we present the role of FNAC in the cytomorphologic diagnosis of various forms of superficial lymphadenopathies.
Authors and Affiliations
Kakchingtabam Urmila, Sunita Haobam, Urmila Thiyam
Keywords
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- EP ID EP411598
- DOI 10.14260/jemds/2018/302
- Views 73
- Downloads 0
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