SPECTRUM OF LYMPH NODE LESIONS ENCOUNTERED ON FNAC IN A TERTIARY CARE HOSPITAL IN CENTRAL INDIA

Dr.Akanksha Mishra; Dr.K. B. Mishra; Dr.Vandana Agrawal; Dr.Ashish Kr Sharma

Volume : VII, Issue : III, March - 2017

SPECTRUM OF LYMPH NODE LESIONS ENCOUNTERED ON FNAC IN A TERTIARY CARE HOSPITAL IN CENTRAL INDIA

Dr. Akanksha Mishra, Dr. K. B. Mishra, Dr. Vandana Agrawal, Dr. Ashish Kr Sharma

Abstract :

Lymphadenopathy is one of the most common clinical presentations of outdoor clinics patients. There are various etiologies ranging from an inflammatory process to an underlying malignancy. (1) Fine needle aspiration cytology (FNAC) has become an acceptable & widely practiced method in the investigation of lymphadenopathy. It is safe, simple, rapid, and painless with minimally invasive outpatient technique with high cost effectivity & accuracy. The present randomized Double blinded cross section Prospective study was conducted over 275 patients presenting with lymphadenopathy in the LN Medical college & research centre ,Bhopal central India over a period of one year and 4 months ( September 2014 to December 2015 ), to evaluate the usefulness of FNAC as a diagnostic tool in the management of patients with superficial lymphadenopathy, distribution of various lesions among the different age groups, and to study cytological features of non neoplastic & neoplastic lesions of enlarged lymph nodes by FNAC. Cervical lymph node was the most commonly involved group .Tuberculous lymphadenitis was most common lesion followed by reactive Hyperplasia, Metastatic carcinoma, Suppurative lymphadenitis, and non Hodgkin’s lymphoma than Hodgkin’s lymphoma. Incidence of metastatic carcinoma was high during & after 40 years of age & seen more common in males. Squamous cell carcinoma is the most common metastatic lesion. Most command site of metastasis in squamous cell carcinoma was cervical group of nodes where as in east carcinoma axillary group of nodes.