A TWO YEARS  STUDY OF  CERVICAL LYMPHADENOPATHY BY FINE NEEDLE ASPIRATION CYTOLOGY IN A TERTIARY CARE HOSPITAL IN NORTH EAST INDIA.

Bhubaneswar Saikia; Pranjit Moral; Deep Jyoti Kalita

Volume : VII, Issue : VIII, August - 2017

A TWO YEARS STUDY OF CERVICAL LYMPHADENOPATHY BY FINE NEEDLE ASPIRATION CYTOLOGY IN A TERTIARY CARE HOSPITAL IN NORTH EAST INDIA.

Bhubaneswar Saikia, Pranjit Moral, Deep Jyoti Kalita

Abstract :

Fine Needle Aspiration Cytology (FNAC) is a simple, quick and inexpensive method that is used to sample superficial masses like cervical lymph node found in the neck and is usually performed in the outpatient clinic. Cervical lymphadenopathy is a common clinical presentation across patients of all age group. The aetiology may range from a benign nonspecific inflammation to lymphoproliferative disorders and metastatic malignancy. The present study was undertaken to study non neoplastic and neoplastic lesions of enlarged lymph nodes by Fine needle aspiration cytology (FNAC) in patients presenting with cervical lymphadenopathy referred to cytopathology department from the OPD/IPD of a tertiary care institute over a period of two years (Feuary 2015 to January 2017).A total of 850 patients were subjected to FNAC of cervical lymph nodes over two years period. Since in 35patients,the aspirate was inadequate the remaining 815 cases were analysed.Overall tuberculous lymphadenitis was the most common finding (42.45%), followed by reactive hyperplasia (35.09%). Malignant pathology accounted for 20.24% of cervical lymph node enlargement, most of which was due to metastatic squamous cell carcinoma ( 65.4%).This study highlights the usefulness of FNAC as a reliable method for diagnosis of cervical lymphadenopathy