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Category: Volume 05 Issue 11 November 2017
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Title: Supraclavicular lymphadenopathy:  Cytopathological study of 3 years with Review of Literature

Authors: Sujata R. Kanetkar, Dhirajkumar B. Shukla, Pradnya P. Kale, Atul B. Hulwan

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i11.218

Abstract

Background: Fine needle aspiration cytology of enlarged lymph nodes has evolved as a first line of investigation in diagnosis of spectrum of lesions. Supraclavicular Lymphadenopathy can be due to many pathological conditions such as tuberculosis, primary malignancy and also due to metastasis from various primary malignancies. The aim of the study was to analyze spectrum of diseases in cases with supraclavicular lymphadenopathy using Fine needle aspiration cytology and its utility in diagnosis.

Material & Methods: Present study is a prospective study carried over a period of three years from June 2012 to May 2015. Fine needle aspiration was performed on 54 cases presenting as supraclavicular lymphadenopathy, referred to Department of Pathology.

Results: Out of 54 cases of supraclavicular lymphadenopathy from different clinicians were studied. Out of 54 cases 30 (55.55%) cases were of Right sided lymphadenopathy and 24(44.44%) were of left with no bilaterally in even single case. The study showed female predilection with 36(66.66%) cases & 18 (33.33%) were male patients. The age ranged from 3 months to 78 years with different pathological diagnosis. Cytological diagnosis were categorized as Metastatic malignancy in 24 cases Reactive lymphadenitis (11/54), Acute suppurative lymphadenitis (11/54), and Granulomatous lymphadenitis in 8 cases with single case having tubercular bacilli on 20% ZN staining . Out of 24 cases of metastasis major types found were adenocarcinoma, squamous cell carcinoma, anaplastic carcinoma of thyroid, carcinoma of breast. Adenocarcinoma had tendency to metastasis to Left side.

Conclusion: Supraclavicular lymphadenopathy suggests some underlying pathology in young as well as old patients. The study emphasizes on importance, utility, simplicity of fine needle aspiration in diagnosis of such cases.

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Corresponding Author

Dr Dhirajkumar B.Shukla

Assistant Professor, Department of Pathology,

Krishna Institute of Medical Sciences, Karad.

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