Observational study on FNAC evaluation of peripheral lymph node swellings

  • Dr Pulak Raj Consultant Pathologist, Nalanda Patho Centre, Biharsharif, Bihar, India
  • Dr (Prof.) Pawan Kumar Choudhary Professor and HOD, Department of Pathology, VIMS, Pawapuri, Bihar, India
Keywords: Cytopathological changes, FNAC, Observational study, Peripheral lymphadenopathy

Abstract

Introduction: Peripheral lymphadenopathy is one of the common conditions encountered by clinicians. Knowledge of the pattern of diseases responsible for the same helps in better clinical decisions and management. The present study was conducted to assess the cytomorphological pattern of lymph node swellings by FNAC.

Methods: The present study was cross-sectional in nature conducted upon 163 cases presenting with peripheral lymph node swellings for FNAC. Details of illness and findings of FNAC were noted.

Results: Reactive hyperplasia was the most common finding in younger age groups (<20 years). Tuberculosis was more commonly seen in middle age groups (21-40 years). Malignant changes were more common in the elderly (>60 years).

Conclusion: Reactive hyperplasia was the most common cause of lymphadenopathy in younger age groups was, tubercular lymphadenitis in the middle age group and metastatic carcinoma in patients above 60 years of age.

Downloads

Download data is not yet available.

References

Malhotra A, Lahori M, Nigam A, Khajuria A. Profile of lymphadenopathy: An institutional based cytomorphological study. Int J App Basic Med Res. 2017;7(2):100-103. doi: https://doi.org/10.4103/2229-516X.205812.

K P SK, G S S, Ahmed SM. A prospective study of cervical lymphade nopathy in 78 children in tertiary hospital: in Kerala. JEMDS. 2015;4(33):5617-5629. doi: https://doi.org/10.14260/jemds/2015/823.

Farooq S, Amain J, Singh K, Jahan S. Evaluation of Lymphadenopathy using FNAC as a Diagnostic Tool. Int J Contemp Med Res. 2018;5(1):24-27.

Shrivastav A, Shah H, Agarwal N, Santwani P, Srivastava G. Evaluation of peripheral lymphadenopathy by fine needle aspiration cytology: A three-year study at tertiary center. J NTR Univ Health Sci. 2014;3(2):86-91. doi: https://doi.org/10.4103/2277-8632.134834.

Badge S, Ovhal A, Azad K, Meshram A. Study of fine-needle aspiration cytology of lymph node in rural area of Bastar District, Chhattisgarh. Med J DY Patil Univ. 2017;10(2):143-148. doi: https://doi.org/10.4103/0975-2870.202097.

Duraiswami R, Sujatha M, Chandran P, Prakash A. Spectrum of pathologies on FNAC evaluation of peripheral lymph nodes at a tertiary care center in Hyderabad: a retrospective study. Int J Adv Med. 2017;4(1):27-33. doi: https://doi.org/10.18203/2349-3933.ijam20164703.

Janagam C, Atla B. Role of FNAC in the diagnosis of cervical lymphadenopathy. Int j res med sci. 2017;5(12):5237-5241. doi: http://dx.doi.org/10.18203/2320-6012.ijrms20175383.

Khajuria R, Goswami K, Singh K, DUbey V. Pattern of Lymphadenopathy on Fine needle aspiration cytology in Jammu. JK Sci. 2006;8(3):157-159.

Mishra B, Sinha A, Singh S. A study of Patterns and etiologies of peripheral lymphadenopathy in a tertiary care hospital in Ranchi, India. IOSR Journal of Dental and Medical Sciences. 2017;16(5):46-50. doi: https://doi.org/10.9790/0853-1605074650.

Paikrao Y, Chintale K. Study of diagnosis of tuberculosis cervical lymphadenopathy by FNAC in rural tertiary health care centre. Int J App Res. 2017;3(12):96-101.

Parthy P, Hota S, Dash S, Samartaray S, Panda S, Rout N. Analysis of FNAC in diagnosis of lymphadenopathy –a retrospective study from a regional cancer centre, Cuttuck, Odisha. Int J Res Med sci. 2017;5(12):5287-5292. doi: https://doi.org/10.18203/2320-6012.ijrms20175442.

Pavithra P, Geetha J. Role of fine needle aspiration cytology in the evaluation of the spectrum of lymph node lesions. Int J Pharm Bio Sci. 2014;5(4):377-384.

Sheela K, Priya M. Reliability of FNAC as a diagnostic tool in lymphadenopathy. Int J Adv in Med. 2017;4(4):1073-1077. doi: http://dx.doi.org/10.18203/2349-3933.ijam20173234.

Shah PC, Patel CB, Bhagat V, Modi H. Evaluation of peripheral lymphadenopathy by fine needle aspiration cytology: a one-year study at tertiary centre. Int J Res Med Sci. 2016;4(1):120-125. doi: https://doi.org/10.18203/2320-6012.ijrms20160016.

Sharma BH, Bansal M, Kumar N, Gupta M. Spectrum of lymphadenopathy on fine needle aspiration cytology-A 3 year retrospective study in a tertiary care centre. ACHR. 2019;4(1):82-86. doi: https://doi.org/10.18231/2456-9267.2019.0014.

CITATION
DOI: 10.17511/jopm.2020.i03.03
Published: 2020-03-31
How to Cite
Raj, P., & Kumar Choudhary, P. (2020). Observational study on FNAC evaluation of peripheral lymph node swellings. Tropical Journal of Pathology and Microbiology, 6(3), 223-229. https://doi.org/10.17511/jopm.2020.i03.03
Section
Original Article