ROLE OF FNAC IN EVALUATION OF PERIPHERAL LYMPHADENOPATHY - A STUDY AT TERTIARY CARE HOSPITAL

Dr. P.Kalaivani; Dr.M.Sumathi; Dr.N.Vani

Volume : VIII, Issue : IV, April - 2018

ROLE OF FNAC IN EVALUATION OF PERIPHERAL LYMPHADENOPATHY - A STUDY AT TERTIARY CARE HOSPITAL

Dr. P. Kalaivani, Dr. M. Sumathi, Dr. N. Vani

Abstract :

Peripheral lymphadenopathy is a very common presentation in various non–neoplastic and neoplastic lesions.Fine needle aspiration cytology (FNAC) is a minimally invasive , cost effective and quick outpatient procedure for diagnosis of lymphadenopathy.

Aim of the study :

1.To evaluate the role of FNAC in assessing the cause of lymphadenopathy with correlation to age and gender.

2. To assess the value of FNAC in differentiating non–neoplastic and neoplastic lesions.

METHOD: Fine needle aspirates from enlarged peripheral lymph nodes of 110 cases with age ranging from 8 months to 75 yearswere studied for a period of one year in tertiary care hospital.

RESULTS: The most common lesion encountered was granulomatous lymphadenitis ( caseating and non caseating)–32% , followed by reactive lymph node –24 %, metastatic carcinomatous deposits– 23%, nonspecific lymphadenitis –21%, suppurative lymphadenitis–8%, lymphoma – 2%.

CONCLUSION : FNAC evaluation is a simple,safe,rapid,quick,reliable and cost effective procedure in establishing the underlying pathology of enlarged Peripheral lymphnode. It helps to differentiate a neoplastic and non–neoplastic lesion and help in managing the patient from unnecessary surgery.