PATTERN OF CERVICAL LYMPHADENOPATHY ON FINE NEEDLE ASPIRATION CYTOLOGY

Dr Sonal Verma; Dr  Ravi Kant Mishra

Volume : VI, Issue : V, May - 2017

PATTERN OF CERVICAL LYMPHADENOPATHY ON FINE NEEDLE ASPIRATION CYTOLOGY

Dr Sonal Verma, Dr Ravi Kant Mishra

Abstract :

Background: Fine needle aspiration cytology (FNAC) of cervical lymph node lesions has an established role in diagnosis and management of patients.

Aim: The aim of the present study was to study the different cytomorphological patterns associated with cervical lymphadenopathy and to evaluate the spectrum of cervical lymph node lesions in our setting.

Material and Methods: In the present study, 331 cases were included in this study. FNA was performed from different sites of the lymph node swelling using a 10 mL disposable syringe and 23/24-gauge needle without local anaesthesia. FNA air-dried smears were stained with Giemsa stain and analysed by cytopathologists.

Results: Majority of lesions were tubercular lymphadenitis (46.8%) followed by reactive lymphadenitis (24.8%). Primary malignant lymphadenopathy accounted for about 1.8% NHL and 0.9% HL. Metastatic lymphadenopathy made up about 5.1% of the total.

Conclusion: FNAC is a useful, quick and reliable diagnostic technique, indispensable for developing countries, in evaluation of lymphadenopathy for both screening and follow-up and can be performed as an outpatient procedure.