ROLE OF FINE NEEDLE ASPIRATION CYTOLOGY IN DIAGNOSIS OF METASTATIC LYMPHADENOPATHY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2016, Vol 3, Issue 18
Abstract
INTRODUCTION Lymph node is a common site of metastasis for various malignancies. So the strong clinical suspicion and thus the early diagnosis of palpable lymphadenopathy by FNAC is of paramount importance. It is useful to differentiate between inflammatory lesions or malignant lesion whether primary or metastatic. AIMS To establish the role of fine needle aspiration cytology (FNAC) as a diagnostic tool in the interpretation of metastatic lymphadenopathy. MATERIAL AND METHODS The present study was conducted on 295 consecutive patients presented with lymphadenopathy and were reported as metastasis. OBSERVATIONS Total of 295 cases of metastatic lymphadenopathy were taken. Squamous cell carcinoma was the most common primary tumor metastasizing to lymph nodes (n=133) followed by adenocarcinoma (n=57), duct carcinoma breast (n=22) , mucoepidermoid carcinoma (n=19), undifferentiated carcinoma (n=13), small cell carcinoma (n=11) and other malignancies Cervical lymph nodes were the most commonly involved and the commonest primary site was head and neck. In most of the cases primary could be pointed out based on clinical and cytological findings. CONCLUSION FNAC is a rapid, safe, easy and non-expensive diagnostic technique which can be used for initial diagnosis of metastatic lymphadenopathy in a resource challenged environment, confirm secondaries where primary tumor is evident, for detection of primary of unknown origin and for response to treatment.
Authors and Affiliations
Naresh N. Rai, Priyanka Patangia, Sudha Pankaj Meena
Keywords
Related Articles
- EP ID EP233844
- DOI 10.18410/jebmh/2016/167
- Views 55
- Downloads 0
ATAXIA TELANGIECTASIA: A CASE REPORT
Ataxia-telengiectasia (AT) is characterized by slowly progressive cerebellar ataxia, occulomotor apraxia, choreoathetosis, telangiectasis of the skin and conjunctivae, susceptibility to sinobronchopulmonary infections, l...
WORK RELATED INJURIES AMONG FISHERMEN – A DESCRIPTIVE STUDY IN FEW COASTAL AREAS OF SOUTH INDIA
INTRODUCTION The work of fishermen is considered one of the most dangerous and life-threatening professions all over the world.4 Many fishermen around the world suffer from fatal injuries every year due to harsh and dang...
PROSPECTIVE COMPARATIVE STUDY BETWEEN CECT STAGING AND SURGICAL STAGING IN CARCINOMA OF STOMACH WITH PARTICULAR REFERENCE TO PANCREATIC, COLONIC INVASION AND SECONDARIES IN LIVER
BACKGROUND Carcinoma of Stomach is the fourth most common malignancy. Before planning an operation, correct staging of the disease is important. Contrast Enhanced Computerized Tomography (CECT) is considered to be import...
CHRONIC RADIATION PROCTITIS- A COMMON BUT DIFFICULT PROBLEM
BACKGROUND Pelvic radiation is increasingly being used for management of genitourinary and lower gastrointestinal malignancies. Radiation induced damage to rectum, colon can present as acute radiation proctitis or chroni...
CLINICAL STUDY OF PAEDIATRIC TUBERCULOSIS WITH REFERENCE TO ADENOSINE DEAMINASE LEVEL IN COMPARISON WITH DNA PCR FOR DIAGNOSIS OF MYCOBACTERIUM TUBERCULOSIS
BACKGROUND To study the clinical profile of paediatric tuberculosis with reference to adenosine deaminase level in comparison with DNA PCR for diagnosis of mycobacterium tuberculosis. Tuberculosis is still a leading caus...