Title: A Comprehensive Study of Cervical Lymphadenopathy with special reference to FNAC as a diagnostic Criteria
Authors: Siba Prasad Dash, Sulata Choudhury
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.45
Abstract
Cervical lymphadenopathy is a common clinical problem. This study was carried out in 50 cases without any consideration to age, FNAC was used to evaluate these patients, biopsy was done only in doubtful cases, in patients with lymphoma and in those with supraclavicular group involvement. Tuberculosis was seen most commonly in the age group of 11-20 years. The male:female ratio was 1:2.5 in tubercular lymphadenopathy. Accuracy rate of FNAC in this series as a whole is 96%. Lymphoma cases were seen in the age group of 31-40 years where as metastatic carcinoma was present in patients over 40 years. Matted lymph nodes were seen in 61.9% cases of tubercular lymphadenitis.
Keywords: Tuberculosis, cervical lymphadenopathy, fine needle aspiration cytology (FNAC).
References
1. Browse NL. An Introduction to the symptoms and signs of surgical disease 3rd ED. London, 1997 PP. 256-257.
2. Gupta AK, Gupta SC, Singh DR et al Lymphadenopathy (A clinic-pathological evaluation) Ind. J. Of Surg. 1988; 50(7): 239-244.
3. JhawerPK, Barat D, Begani MM, Chronic cervical Lymphadenopathy -A rational approach to its management. Indian J. Surg. 1990; 52: 25-30.
4. Dandapat MC, Mishra BM, Dash SP et al: Peripheral Lymph node tuberculosis: A review of 80 cases: Br.J. Surg 1990 August: 77 (8): 911-2.
5. Trivedi BP, Basumallick KC; Lymph node Biopsy. Ind. J. Surg. 1953: 15:74.
6. PamraSP, Mathur GP, A cooperative study of Tuberculosis cervical lymphadenopathy Ind. J. M.Res. 1974; 62: 1631-1646.
7. Seth V, Kabra SK, Jain Y, et al : Tubercular Lymphadenitis: Clinical Manifestation: Indian J. Paediatrics 1995 September-October 62(5): 565-70.
8. Sarda AK, Bal S Singh MK et al: Fine needle aspiration cytology as a preliminary diagnostic procedure for asymptomatic cervical lymphadenopathy. JAPI., 1990 March 38(3): 203-205.
9. Ochicha O, Edino ST, Mohammed AZ, Umar AB, Atanda AT. Pathology of peripheral lymph node biopsies in Kano, Northern Nigeria. Annals of African medicine. 2007 Sep 1 ;6(3):104.
10. Subrahmanyam M. Role of surgery and chemotherapy for peripheral lymph node tuberculosis. British journal of surgery. 1993 Dec 1;80(12):1547-8.
11. Olu-Eddo AN, Omoti CE. Diagnostic evaluation of primary cervical adenopathies in a developing country. Pan African Medical Journal. 2011 ;10.
12. Lioe TF, Elliott H, Allen DC, Spence RA. The role of fine needle aspiration cytology (FNAC) in the investigation of superficial lymphadenopathy; uses and limitations of the technique. Cytopathology. 1999 Oct 1;10(5):291-7.