Paper Title(Cytological Diagnosis of Lymphadenopathy on FNAC- A Study from Rural Tertiary Care Hospital (Chamba, H.P).
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 7
Abstract
Introduction- Lymphadenopathy often occurs in the head and neck or inguinal areas and usually noted in clinical practice. . Enlarged lymph nodes could be due to infection, metastatic malignancy or lymphoma. Fine needle aspiration cytology is an economical and reliable first line investigation in lymphadenopathy . FNAC is now considered as a valuable diagnostic aid as it gives early results, it is a simple procedure ,causes minimal trauma and complications. Material and methods- We carried out this study in Department of Pathology, Pt. JawaharLal Nehru Govt. Medical College, Chamba (H.P, India) from 1 Dec 17 to 31 April 18.We received patients in cytology section with lymph node swellings from medicine, surgery ,ent, skin, gynecology department. After proper history taking and clinical examination, we performed FNAC from appropriate site. Result- Tuberculous lymphadenitis formed 60%, followed by reactive lymphadenitis with 30 %, then 8.6 % metastatic pathology followed by 1.6 % of malignant pathology. Discussion- Tuberculosis is still rampant in India, especially in rural area like ours. The incidence of TB was found to be higher in females than males in our study. There may be many reasons for higher prevalence of TB in females. Firstly, females in rural areas are malnourished and have a low immunity, thus are vulnerable to infectious diseases like TB. Conclusion-- Despite its limitations and pitfalls, FNAC appears as a good first line method for investigating the cases of lymphadenopathy. It can be concluded from our study, that tuberculous lymphadenitis shows high burden of cases in our community.
Authors and Affiliations
Shairoly Singh, Dr. Ishan Arora, Dr. Shireen Singh, Dr. Danish Rafiq Khan
Keywords
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