Reliability of Fine Needle Aspiration Cytology (FNAC) As A Diagnostic Tool In Cases of Cervical Lymphadenopathy

Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 6

Abstract

Background: FNAC is a simple, safe, cost effective, quick as well as an efficient diagnostic procedure with relatively no contraindications and no side effects. The aim of this work is to evaluate the reliability and diagnostic accuracy of fine needle aspiration cytology (FNAC) of cervical lymph nodes. Method: 100 patients who presented with cervical lymphadenopathy in the Department of pathology, Government Medical College, Bhavnagar, Gujarat, were subjected to FNAC using a 10 ml syringe and 22-24 gauge needles. All smears were stained and cytological diagnosis were made by an experienced pathologist. The patients were followed whenever possible. 27 cases were subjected to lymph node biopsy. The cytological results were compared with the histological findings wherever possible. Results: The age of the patients ranged from 2 to 75 years. Male to Female ratio was 1.2:1. FNAC diagnosis was divided into Non-Neoplastic and neoplastic lesions. Overall Reactive lymphadenitis was the most common finding(41%).Male preponderance was seen in Reactive lymphadenopathy and Female preponderance was seen in chronic granulomatous lesion as well as in metastatic carcinomas. Out of 27 biopsied cases, the overall diagnostic accuracy of FNAC for reactive lymphadenitis, Chronic granulomatous lesions, Hodgkins lymphoma, nonhodgkins lymphoma and metastasis were 87.5%,71.4%, 100%, 80% and 100%. Conclusion: FNAC of lymph nodes proved to be a very useful tool in the diagnosis and early evaluation of enlarged lymph nodes with high sensitivity and specificity. In many cases, it reduces the need for a surgical procedure to be performed on the patient.

Authors and Affiliations

Dr. Mayuri Rajendrakumar Gohil

Keywords

Related Articles

Glycosylated Hemoglobin and Left Ventricular Diastolic Dysfunction in Type 2 Diabetes Mellitus Patients

Introduction: Diabetes Mellitus (DM) refers to a group of common metabolic disorders that share the phenotype of hyperglycemia. The diastolic abnormalities are present in diabetic patients without overt diabetic complica...

Study of Metabolic Syndrome and Thyroid Dysfunction

Metabolic Syndrome is a group of factors that predispose to cardiovascular diseases. The prevalence of metabolic syndrome is rising rapidly. Recently, a few studies have suggested that thyroid function in the reference r...

Calcifying Aponeurotic Fibroma: Rare Case

Calcifying aponeurotic fibroma is a rare, benign fibroblastic tumour. The lesion has a propensity for local invasion and a high recurrent rate. Therefore, accurate preoperative diagnosis and complete excision are importa...

Carba NP Test as a Rapid Diagnostic Tool for Carbapenemase Producers

The increasing resistance to carbapenems is a worldwide clinical concern. Resistance is mainly due to carbapenemases, which hydrolyse most β-lactams. Carbapenemases are found on diverse mobile genetic elements that may c...

Seasonal Variation of Vitamin D in Ischemic Stroke

This study aimed to investigate the seasonal variation of serum vitamin D level in ischemic stroke patients. 217 patients with ischemic stroke were selected for analysis between ages 45 and 80 yrs admitted at our hospita...

Download PDF file
  • EP ID EP209083
  • DOI -
  • Views 79
  • Downloads 0

How To Cite

Dr. Mayuri Rajendrakumar Gohil (2015). Reliability of Fine Needle Aspiration Cytology (FNAC) As A Diagnostic Tool In Cases of Cervical Lymphadenopathy. Journal of Medical Science And clinical Research, 3(6), 5916-5921. https://europub.co.uk/articles/-A-209083