Abstract
Introduction: Lymph nodes are the most widely distributed collections of lymphoid tissue within the lymphoreticular system. FNA is a simple and rapid diagnostic technique. The value of FNA also lies in giving early direction of appropriate investigation of the lesion.
Aim: To study the non neoplastic and neoplastic lesions of enlarged lymph nodes by FNAC in patients presenting with lymphadenopathy in the postgraduate department of pathology of Government Medical College, Jammu.
Material and Methods: In our study, all clinically diagnosed cases of lymphadenopathies who had come to the cytology section for FNAC over a period of 2 years from jan 2015 to dec 2016 were included. It was a retrospective study.
Result: During a period of 2 years, a total of 5400 cases were reported in the cytology section of GMC Jammu, Out of these 960 (17.8%) were lymph node aspiration cytology cases. Among these 960 Cases, 7(0.7) cases were atypical and excision biopsy was advised whereas 5 cases (0.5%) were inconclusive due to unsatisfactory smears. Out of 960 cases, 830 (86%) were non neoplastic whereas 118 (12%) were neoplastic cases. In the present study the lesion were seen in all the age groups ranging from 1.5 years to 80 years with a mean age of 44 years. The peak incidence was for non neoplastic lesions were seen between 10 to 20 years whereas peak age incidence for neoplastic lesion was seen age more than 60 years. Out of 960 cases, 534 cases(59%) were males and 414 cases were females.(43%)
Conclusion: The knowledge of pattern of lymphadenopathy in a given geographical area is essential for making a confident and definite diagnosis or suspecting a disease.FNA is a simple and rapid diagnostic technique for diagnosing benign as well as malignant lesion.
Keywords: Lymph node, FNAC, Reactive Lymphadenitis, Tuberculous Lymphadenitis.
References
1. Cibas ES, Ducatman BS. Cytology diagnostic principales and clinical correlates,2014 4th edition; chapter 12-333.
2. Mohanty R,Wilkinson A.Utility of fine needle aspiration of lymph nodes.IOSR J Dent Med Sci.2013;8(5)13-8.
3. Kochhar AK, Duggal G ,Singh K,Kochhar SK.Spectrum of cytological findings in patients with lymphadenopathy in rural population of south Haryana –India- experience in a tertiary care hospital. Internet J pathol.2012;13(2):8
4. Adhikari P,Sinha BK,Baskota DK. Comparison of Fine needle aspiration cytology and histopathologies in diagno-sisng cervical lymphadenopathies. Australas Med J.2011;4:97-9.
5. Khajuria R, Goswami KC,Singh K, Dubey VK. Pattern of lymphadenopathy on Fine needle aspiration cytology in Jammu. JK Sci .2006; 8(3):157-9.
6. Sharma P, Rana S, Gill MK et al. Spectrum of Lymph node lesions on cytologyc in rural Haryana – a retrosp-ective ananlysis. International Journal of research in Medical sciences 2015 MAY,3(5):1125-1130.
7. Pavithra P, Geetha JP.Role of Fine needle aspiration cytology in the evaluation of spectrum of lymph node lesions.Int J Pharm Bio Sci.2014;5(4):377-84.
8. Patra SP, Bhatacharya N, Mangal S. FNAC, Imprint cytologyand histopath-ology for diagnosing diseases of lymph nodes J cytology2003;20:124-28.
9. Dukare SR, Jadhav DS, Gaikwad AL et al. Fine needle aspiration cytology of cervical lymphadenopathy – a study of 510 cases. Asian J Sci Technol .2014; 5(9): 537-40.
10. Chandanwale S, Buch A, Verma Aet al.Evaluation of granulomatous lympha-denitis on Fine needle aspiration cytology – diagnostic dilemma .Int J Pharm Bio Sci. 2014;5(4):377- 84.
11. Gayathri MN, Sakshi C,Bharathi M, Shashidhar HB. Pattern of lymphaden-opathy on Fine needle aspiration cytology – a retrospective study. Int J Res Med Sci .2015; 3(6):1416-1419.
12. Fatima S,Arshad S,Ahmed Z,Hasan SH. Spectruof cytological findings in patients with neck lymphadenopathy - experience in tertiary care hospital Pakistan.Asian Pac J Cancer Prev.2011;12:1875-5.
13. Hirachand S , Lakhey M,Akhter J,Thapa B. Evaluation of Fine needle aspiration cytology of lymph node in Katmandu Medical College Teaching Hospital. Kathmandu University Medical Journal 2009;7:139-142.
14. Chand P,Dogra R, Chauhan N et al.Cytological pattern of Tubercular lymphadenopathy on FNAC: analysis of 550 consecutive cases.J clin Diagn Res.2014;8(9):FCI 6-9.
15. Paul PC ,Goswami BK, Chakrabarty S et al. Fine needle aspiration cytology of lymph node-An institutional study study of 1448 cases over a period of 5 yeas.J Cytology 2004;21:187-90.
Corresponding Author
Dr Bharti Devi Thaker
Senior Resident, Department of Pathology, GMC Jammu
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