Usefulness of Image Guided Fine Needle Aspiration Cytology in Adult Mesenteric Lymphadenopathy: A Study of 30 Cases
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 4
Abstract
Introduction: Mesenteric lymphadenopathy is not easily detectable without the use of imaging modalities. Image guided fine needle aspiration cytology has proved to be safe, quick, reliable and cost effective method for obtaining tissue for cytopathological examination. Objective: The main objective was to study cytomorphological features and to render cytodiagnosis to the aspirates so obtained by fine needle aspiration of mesenteric lymph nodes. Materials and Methods: A total of 30 patients were subjected to image guided fine needle aspiration cytology as an outpatient procedure under local anaesthesia. After sonographic localization of pathology, a 22-gauge needle was introduced into the lesion under continuous real time image guidance and multiple smears were prepared. Air dried smears were then stained with May-Grunwald Giemsa stain. Ziehl-Neelsen staining and Papanicolaou staining were performed wherever indicated. Results: 30 cases were studied, which showed male to female ratio of 2:1. The age of the patients ranged from 18 to 90 year. Malignant and benign lesions accounted for 60% and 40% respectively. Among the malignant lesions, Non-Hodgkin lymphoma was the most commonly found malignancy, followed by metastatic adenocarcinoma. In benign and inflammatory category, tuberculosis of mesenteric lymph nodes was the most common lesion, accounting for 30% of all cases. The adequacy rate in our study was 100%. Conclusion: Fine needle aspiration cytology of mesenteric lymph nodes through image guidance is a useful and safe diagnostic procedure.
Authors and Affiliations
Deepa Rani, Vinay Kumar, Atul Gupta`
Keywords
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- EP ID EP546811
- DOI 10.21276/ijmrp.2017.3.4.030
- Views 79
- Downloads 0
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