COMPARISON OF ULTRASONOGRAPHY AND COLOUR DOPPLER DIAGNOSIS WITH FNAC & HISTOPATHOLOGY IN CERVICAL LYMPHADENOPATHY.

Dr.Dilleswari Pradhan; Prof.Jayashree Mohanty; Dr.Debabrata Pattanayak

Volume : VI, Issue : IV, April - 2017

COMPARISON OF ULTRASONOGRAPHY AND COLOUR DOPPLER DIAGNOSIS WITH FNAC & HISTOPATHOLOGY IN CERVICAL LYMPHADENOPATHY.

Dr. Dilleswari Pradhan, Prof. Jayashree Mohanty, Dr. Debabrata Pattanayak

Abstract :

A total of 93 cervical lymphnodes of 78 patient sisevaluated by USG (both gray scale &colourdoppler).Cervical lymphnodes are characterized on grayscale by their distribution,

size,shape,border,calcification,necrosis,matting,adjacent soft tissue edema and vascular pattern.From this, a provisional diagnosis was made and then FNAC was done, followed by Histopathology examination.Previously diagnosed and treated cases were excluded from the study.USG diagnosis with FNAC &HP study to determine benign,reactive,tubercular and malignant lesions of the lymph node.

Summary:

Of 93 lymphnodes, 33 were reactive on USG and 28 turned out to be reactive on FNAC/HP study.

22 are tubercular on USG and 20 on FNAC/HP.

24 malignant nodes on USG has18 metastatic and 5 lymphomas on FNAC/HP.14 benign nodes in both USG and FNAC/HP.This study revealed that high–resolution sonographic examination

gives a valuable guideline which potentiates towards FNAC/HP diagnosis and management.