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Category: Volume 05 Issue 12 December 2017
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Title: Pattern of Lymphadenopathy on Fine Needle Aspiration Cytology: A Study Done at District Hospital Srinagar (JLNM)

Authors: Dr Summyia Farooq, Dr Shai Ka Qadri, Dr Zhahid Hassan, Dr Nelofar Gul, Dr Nazir Shehdad

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i12.101

Abstract

Introduction

Lymphadenopathy is one of the most common clinical presentations of patients attending the outpatient department. The degree and pattern of morphological changes depend on the inciting stimulus and the intensity of the response. Thus, lymphadenopathy may be an incidental finding and/orprimary or secondary manifestation of underlying diseases which may be neoplastic or non‑neoplastic.[1]

Fine needle aspiration cytology (FNAC) is a simple, safe, reliable, rapid and inexpensive method of establishing the diagnosis of lesions and masses in various sites and organs(2). Lymph node aspiration is of great value for the diagnosis of lymphadenitis, lymphomas and metastatic carcinoma(3,4). The value of FNA also lies in giving early direction of appropriate investigation of the lesion. Aspirates from lymph nodes are usually very cellular and their interpretation varies from clear diagnosis to firm reuest for histopathology. The knowledge of pattern of lymphadenopathy in a given geographical area is essential for making a confident and definite diagnosis or suspecting a disease.

References

  1. Pandit AA, Candes FP, Khubchandani SR. Fine needle aspiration cytology of lymph nodes. J Postgrad Med 1987;33:134‑ 1.
  2. Melcher D, Linehan J, Smith R. Fine needle aspiration cytology. Recent advances in histopathology No.11, Churchill Livingstone, 1981, pp 263-80
  3. Gupta AK, Nayar M, Chandra M. Reliability and limitations of fine needle aspiration cytology of lymphadenopathies. Acta Cytol1991 ; 35 : 777-82.=
  4. Prasad RR, Narasimhan R, Sankran V, Veliath AJ. Fine needle aspiration cytology in the diagnosis of superficial lymphadenopathy: an analysis of 2418 cases. DiagnoCytol1993 ; 15 : 382-86.
  5. Pavithra P, GeethaJP.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. 12.
  6. 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.
  7. 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.
  8. Sachin A. Badge, Anjalee G. Ovhal1, Khemlal Azad, Avinash T. Meshram. Study of fine‑needle aspiration cytology of lymph node in rural area of Bastar District, Chhattisgarh. Medical Journal of Dr. D.Y. Patil University | Volume 10 | Issue 2 | March-April 2017
  9. Raghuveer CV, Pai MR, Manohar C. Role of FNAC in disorders of lymph nodes. J Cytol 1996;13:45‑
  10. 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
  11. Mohanty R, Wilkinson A.Utility of fine needle aspiration of lymph IOSR J Dent Med Sci.2013;8(5)13-8.
  12. Adhikari P, Sinha BK, Baskota DK. Comparison of Fine needle aspiration cytology and histopathologies in diagnosi-sng cervical lymphadenopathies. Australas Med J.2011;4:97-9. Pathol.2012; 13(2):8
  13. Khajuria R, Goswami KC, Singh K, Dubey VK. Pattern of lymphadenopathy on FNAC in Jammu. JK Sci 2006;8:157-9.
  14. Mallick D, Nathprasad R, Gon S, GhoshG.Spectrum of Lymph Node Lesions by fine needle aspiration cytology in worker population of Eastern zone of India. IJOH.2015;7(3):139-144.
  15. Annam V, Kulkarni MH, Puranik RB. Clinicopathologic profile of significant cervical lymphadenopathy in children aged 1-12 years. ActaCytol 2009;53:174-8.
  16. Paul PC, Goswami BK, Chakrabarty S, Giri A, Pramanik R. Fine needle aspiration cytology of lymph nodes-An institutional study of 1448 cases over a five year period. J Cytology 2004 ; 21 : 187-90
  17. Patra SP, Bhatacharya N, Mangal S. FNAC, Imprint Cytology and Histopath-ology for diagnosing diseases of lymph node. J Cytology 2003 ; 20 : 124-28.
  18. Das DK. Tuberculous lymphadenitis: correlation of cellular components and necrosis in lymph node aspirates with AFB positivity and bacillary count. Ind J Pathol Microbiol1990 ;33 : 1-10.
  19. Rajwanshi A, Bhambani S, Dilip DK .Fine needle aspiration cytology diagnosis of tuberculosis. DiagnCytol1987 ; 3 : 13-16.

Corresponding Author

Dr Summyia Farooq

MD Pathology, Medical Officer

JLNM Hospital Srinagar