Lymphadenopathy is an abnormal increase in size and /or altered consistency of lymph nodes. Tuberculosis is the commonest cause of lymphadenopathy in developing countries like India and should be considered in every case of granulomatous lymphadenopathy unless proved otherwise. The use of FNAC in the diagnosis of lymphadenopathy has become an acceptable and widely practiced minimally invasive technique which is simple, safe, rapid, relatively pain free & highly cost effective as well as accurate. The present study has been taken up to study the utility of FNAC in the lesions of  lymph nodes  and  to study the different cytomorphological  patterns associated with various lymphadenopathies in H and E stained smears. The diagnosis were compared with available histopathology, thus verifying the accuracy of FNAC in detecting lymph node lesions.

Key Words:  FNAC, Lymphadenopathy.

1. Arif Hossain Bhuyan, Md  Abu Yusuf   Fakir , ABM Tofazzal Hossain,et all ; Role of  FNAC in  the diagnosis of cervical lymphadenopathy, Bangladesh J of Otorhinolaryngology   2008 :14(2)63-65
2. Orell SR, Sterrett GF, Whitaker D. Fine needle aspiration cytology. 5th Edn. London: Churchill - Livingstone, Elsevier 2005 Chapter 5, Pg No 77- 118
3. Handa, H.mohan and A. Bal; Role of Fine Needle Aspiration Cytology in evaluation of pediatric lymphadenopathy. Cytopathol 2003; 14: 66-69
4. Ripunjya Mohanty, Dr Anne Wilkinson. Utility of fine needle aspiration cytology of lymph nodes. Journal of dental and medical sciences (IOSR-JDMS), vol 8, Issue 5(july- aug. 2013),PP 13-18
5. Shafiulla, Syed H et al. tuberculous lymphadenitis on Afghan refugees.J pathol.1999; 187:28-38
6. Chawla Nitin, Kudesia Sandip, Kishore Sanjeev; FNAC of lymph node disorders. Indian Medical Gazette.2012 Aug; 145(8):312-315 94)
7. Bedi RS et al. Clinicopathological study of superficial lymphadenopathy in Northern India. Indian J of tuberculosis 1987; 34:189-19
8. Dworski I. Tuberculosis of cervical lymph nodes. Plunce Bolesti 1989 Jul-Dec; 41(3-4):169-171
9. Naeem Ahmed, Saima israr, Muhhamad Sajjad Ashraf. Comparision of fine needle aspiration cytology (FNAC) and excision biopsy in the diagnosis of cervical lymphadenopathy.Pakistan journal of surgery 2009, vol 25, issue 2100)     
10. Abdul Bari, Ahsal –ul –waddod,Khawaja Farooq qasim,jamil ahmed mirkhawaja usman masud. Fine needle aspiration cytology: evaluation in the diagnosis of lymphadenopathy in children; professional med j june 2007; 14(2):237-240
11. Mohammad Rakshan, Azadeh Rakhshan. The Diagnostic Accuracy of fine needle Aspiration Cytology in Neck Lymphoid Masses; Iranian Journal of Pathology (2009);4(4), 147-150
12. Jha BC, Dass A, Nagarkar NM,Gupta R, Sighal S. Cervical tuberculous lymphaden-opathy: Changing clinical patterns and concepts in management. Post-graduate Med.J 2001; March, 77(905): 185-7
13. Jindal N, Devi B, Aggarwal A. Mycobacterial cervical lymphadenopathy in childhood.Post graduate Med. J 2002;81:182-92
14. Arora B, Arora DR. FNAC in diagnosis of tubercular lymphadenitis. Indian J medical Research 1990 May; 91: 189-92
15. Gupta AK,Nayar M, Chandra M. Critical appraisal of fine needle aspiration cytology in tuberculosis.Acta cytol 1992; 36: 391-94.
16. Das DK, Gupta SK, Datta BN,Sharma SC. FNA cytodiagnosis of Non-Hodgkin’s lymphoma and its s:489-98
17. Kline TS. Handbook of fine needle aspiration biopsy: Lymph nodes and superficial masses. St. Louis C.V. Mosby: 1981
18. Narang R. Pradhan S, Singh R, Chaturvedi S. Place of needle aspiration cytology in the diagnosis of lymphadenopathy. Ind J Tub 1990; 37(1):29-31
19. Osama G, Peter R. Charles E, Joseph J. metastatic malignant disease of unknown origin. Am J Surg Pathol 145,493-7
20. Shamshad Ahmed, Shakeel Akhtar, Kafil Akhtar , Shano Naseem, Tariq Mansoor, study of fine needle aspiration cytology in lymphadenopathy with special reference to acid-fast staining in cases of tuberculosis. JK science 2005; 7(1):1-4.

Dr Rupali Katre

Senior Resident, Dept of Pathology,

MIMER Medical College, Talegaon Dabhade

Phone No- 9403084389.  Email: This email address is being protected from spambots. You need JavaScript enabled to view it.