Role of Fine Needle Aspiration Cytology of Cervical Lymphnode in Paediatric Age Group
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2014, Vol 10, Issue 2
Abstract
Introduction: Lymphadenopathy is a common physical finding in childhood. An unexplained lymphnadenopathyin child is a major source of parental anxiety. This study was undertaken to evaluate the utility of Fine Needle Aspiration Cytology as a rapid diagnostic tool for cervical lymphadenopathy in paediatric age group. Methodology: Total 260 patients attending OPD at Dr. Shankarrao Chavan Govt Medical College, Nanded from January 2010 to December 2012 were studied. Summary of Results: The age group ranged from 0-18 years. The commonest age group affected was 7-9 years. Male to female ratio was 1.1:1. Posterior triangle was the commonest site of lymphadenopathy 130 (50%) cases. On cytology, 122 (46.93%) cases were diagnosed as tuberculous lymphadenitis, 69 (26.54%) cases diagnosed as chronic non-specific lymphadenitis, 43 (16.54%) cases diagnosed as reactive lymphadenitis, 10 (3.85%) cases diagnosed as acute lymphadenitis, 12 (4.62) cases diagnosed as N.H.L, 02 (0.76%) cases diagnosed as hodgkin’s lymphoma, 01 (0.38%) cases diagnosed as suspicious for malignancy. Histopathological examination was possible in only 40 cases. The overall sensitivity observed was 100%, specificity 97.05% and accuracy was 97.56%. Conclusion: FNAC is a safe, simple, reliable, reproducible and cost effective procedure in the diagnosis of paediatric lymphadenopathy and is free from limitations of surgical biopsy.
Authors and Affiliations
M. G. Panchal , Y. H. Chavan , S. A. Deshpande , S. V. Suvernakar , D. P. Meshram
Keywords
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