Volume : 6, Issue : 5, May - 2017

PATTERN OF CERVICAL LYMPHADENOPATHY ON FINE NEEDLE ASPIRATION CYTOLOGY

Dr Sonal Verma, Dr Ravi Kant Mishra

Abstract :

<p>&nbsp;<i style="text-align: justify;"><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,serif;&#10;mso-bidi-font-weight:bold">Background: </span></i><span lang="EN-IN" style="text-align: justify; font-size: 12pt; line-height: 115%; font-family: &quot;Times New Roman&quot;, serif;">Fine needle aspiration cytology (FNAC) of cervical lymph node lesions has an established role in diagnosis and management of patients.</span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:139.5pt"><span lang="EN-IN">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:normal;mso-layout-grid-align:none;text-autospace:none"><i><span lang="EN-IN" style="font-size:12.0pt;&#10;font-family:&quot;Times New Roman&quot;,serif">Aim</span></i><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,serif">: The aim of the present study was to study the different cytomorphological patterns associated with cervical &nbsp;lymphadenopathy and to evaluate the spectrum of cervical lymph node lesions in our setting.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify"><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,serif">&nbsp;</span></p> <p class="MsoNormal" style="text-align:justify"><span lang="EN-IN">&nbsp;</span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:normal;mso-layout-grid-align:none;text-autospace:none"><i><span lang="EN-IN" style="font-size:12.0pt;&#10;font-family:&quot;Times New Roman&quot;,serif">Material and Methods:</span></i><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,serif"> In the present study, 331 cases were included in this study. FNA was performed from different sites of the lymph node swelling using a 10 mL disposable syringe and 23/24-gauge needle without local anaesthesia. FNA air-dried smears were stained with Giemsa stain and analysed by cytopathologists.&nbsp; <o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;mso-layout-grid-align:none;&#10;text-autospace:none"><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;&#10;font-family:&quot;Times New Roman&quot;,serif">&nbsp;</span></p> <p class="MsoNormal"><b><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,serif">&nbsp;</span></b></p> <p class="MsoNormal" style="text-align:justify;mso-layout-grid-align:none;&#10;text-autospace:none"><i><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,serif">Results: </span></i><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;&#10;font-family:&quot;Times New Roman&quot;,serif">Majority of lesions were tubercular lymphadenitis (46.8%)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;followed by reactive lymphadenitis (24.8%). Primary malignant lymphadenopathy accounted for about 1.8% NHL and 0.9% HL. Metastatic lymphadenopathy made up about 5.1% of the total.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;tab-stops:146.25pt;mso-layout-grid-align:&#10;none;text-autospace:none"><span lang="EN-IN" style="font-size:12.0pt;line-height:&#10;115%;font-family:&quot;Times New Roman&quot;,serif">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;mso-layout-grid-align:none;&#10;text-autospace:none"><i><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,serif">Conclusion: </span></i><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;&#10;font-family:&quot;Times New Roman&quot;,serif;mso-fareast-language:EN-IN">FNAC is a useful, quick and reliable diagnostic technique, indispensable for developing countries, </span><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;&#10;font-family:&quot;Times New Roman&quot;,serif">in evaluation of lymphadenopathy for both screening and follow-up and can be performed as an outpatient procedure.&nbsp;<i><o:p></o:p></i></span></p>