Title: Pattern of Lymphadenopathy on Fine Needle Aspiration Cytology- A Retrospective Study
Authors: Dr Bharti Devi Thaker, Dr Arti Devi, Dr Kailash Singh
DOI: https://dx.doi.org/10.18535/jmscr/v5i5.133
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.
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