Title: Pattern of Peripheral Lymphadenopathies in Fine Needle Aspiration Cytology at Tertiary Centre: Two Years Experience

Authors: Dr Ashok Panchonia, Dr Harshul Patidar, Prof. Dr C.V. Kulkarni,  Dr Sweta Tripathi

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i3.198

Abstract

Background: Peripheral lymphadenopathy is commonly due to infectious or benign disease, but it could be a feature of underlying malignancy. Fine needle aspiration cytology (FNAC) is a simple, rapid and cost effective method that can be used as reliable diagnostic modality.

Objective: The present study was done to evaluate etiological pattern of peripheral lymphadenopathies and distribution with the respect to the age, sex & site.

Material and Methods: The present study was conducted in the Department of Pathology, M.G.M. Medical College Indore, from October 2013 to September 2015. Total 795 cases were studied. Aspirations were done by using 20 ml syringe and 22/24 gauge needles. Smears were stained with Papanicolaou stain.  

Results: Out of 795 cases, 396 were males and 399 were males with age range from 1 year to 80 years. Maximum number of cases 221 (27.8%) were in the age group of 21 to 30 years. Most common lesion was tuberculous lymphadenitis (36.9%) followed by reactive hyperplasia (26.4%), acute suppurative lymphadenitis (15.1%), metastatic carcinoma (14.8%), chronic granulomatous lesion (5.9%) and lymphoma (0.9%).

Conclusion: FNAC is very useful diagnostic modality for peripheral lymphadenopathies. It can distinguish inflammatory from malignant lesion so that unnecessary surgery can be avoided.

Keywords: Peripheral lymphadenopathy, Fine needle aspiration cytology, tuberculous lymphadenitis.

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