A Study of FNAC of Cervical Lymph Nodes in Tertiary hospital,Kurnool

Dr.Haricharan Perigela

Volume : V, Issue : X, October - 2015

A Study of FNAC of Cervical Lymph Nodes in Tertiary hospital,Kurnool

Dr. Haricharan Perigela

Abstract :

Background: Fine Needle Aspiration Cytology (FNAC) is a reliable and least expensive method suitable for developing countries like India for the investigation of lymphadenopathy. Knowledge about the pattern oflymphadenopathy is useful in pathological reporting as well as in many clinical settings with diagnostic dilemma. This is a baseline study to investigate the pattern of cervical lymphadenopathy by lymph node FNAC . Methods: A retrospective study was conducted byanalyzing the case reports on cervical lymph node FNAC from five years records (July 2010 to June 2015) at Department of General Surgery,Government General Hospital,Kurnool.Review of all cytological reports were done according to standard guidelines and the diagnosis wasclassified and correlated with patients’ age and ethnicity to explore the pattern and association. Results: Of 508 cervical lymph node FNAC cases, 50.4% was reactive non–specific, 22.4% was tubercular, 4.8% malignant, 10% chronic granulomatous and the remaining was acute suppurative (12.4%). Highest incidence ofmalignancy was seen in the fifth decade (50%). Whereas, tubercular lymphadenopathy was found with increasingfrequency through childhood (10.5%) and adolescence (21.7%) to young adulthood (30.4%), probably indicativeof waning immunity of BCG vaccination. Conclusion: The relationship of malignant and tubercular lymphadenopthy with age and ethnicity deserves furtherstudy. Efforts at preventing tubercular and early diagnosing malignant lymphadenopathy and reducing morbidity ingeneral will find great usefulness in such associations.