Spectrum of diseases presenting with cervical lymphadenopathy: Fine needle aspiration cytology
Journal Title: Medpulse International Journal of Pathology - Year 2019, Vol 10, Issue 1
Abstract
Background: The cervical lymphadenopathy consists of a wide range of etiology, ranging from inflammatory process to a malignant condition and it is a more common clinical presentation in the outpatient department. Fine needle aspiration cytology is a simple, safe, reliable, rapid and inexpensive method of diagnosis in lymph nodes. Aims and objectives: Aim of this retrospective study was to assess the cytomorphological patterns of cervical lymphadenopathy and to see the distribution of lesion with respect to age and gender. Methods: A retrospective study was carried out in the department of Pathology, GMERS Medical College, Gotri, Vadodara, India from January 2018 to December 2018. A total of 492 patients of all age groups and genders, presenting with palpable cervical lymph nodes underwent FNAC during this study. Results: Cytomorpholgy was diagnostic of tuberculous lymphadenitis (31.5%), followed by metastatic malignant lesion (27.85%), reactive lymphadenitis (20.52%) and acute suppurative inflammation (9.76%). In 40 cases (8.13%), FNAC was inconclusive. Male to female ratio was 1.46:1. The peak incidence of non-neoplastic lesions which were seen between 11-30 years age group, whereas peak age incidence for neoplastic lesions were seen in ages more than 40 years in our study. Conclusion: FNAC of lymph node is an excellent first line investigation to determine the nature of lesion and when used with a proper combination of experience and diligence, it can efficiently help at arriving in exact diagnosis. With the advent of FNAC most of inflammatory, reactive and neoplastic condition can be diagnosed without biopsy. This study also revealed a huge burden of tuberculous lymphadenitis in this region.
Authors and Affiliations
Satarupa Samanta, Vaibhavi Sharma
Keywords
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- EP ID EP591043
- DOI 10.26611/1051018
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