Fine needle aspiration cytology: A diagostic tool in evaluation of lymphadenopathy in paediatric age
Journal Title: Indian Journal of Pathology and Oncology - Year 2018, Vol 5, Issue 2
Abstract
Introduction Lymphadenopathy is one of the commonest clinical presentations in children and a common scenario for pediatrician Unexplained lymphadenopathy often poses a great deal of anxiety and concern in parents Fine needle aspiration cytology FNAC is a minimally invasive cost effective and a well established technique as a high diagnostic efficacy tool FNAC especially in benign inflammatory condition has aided in clinical practice by avoiding unnecessary excision biopsies also limiting its complications and psychological trauma to patient The present study was conducted to evaluate FNAC as a diagnostic tool in pediatric lymphadenopathy and study spectrum of various cytomorphological patterns in paediatric age groupMaterials and Methods The present study was undertaken in the Department of Pathology in a tertiary care hospital in Maharashtra Reports of 312 pediatric FNAC lt16years of various lymph nodes were studied from July 2014 to November 2017 retrospectivelyResults Maximum number of aspirates were found in 1216 years 3878 ie older age group and were of benign nature ie 9680 with remaining 320 malignant in nature Anterior cervical lymph nodes predominate over other lymph nodes 4102 followed by posterior cervical lymph nodes 3140 when FNAC anatomical site subdivision was done Maximum number of aspirates were found to be reactive lymphadenitis 6153 followed by tuberculous lymphadenitis 865 Conclusion To conclude fine needle aspiration cytology has emerged as a reliable initial screening tool in all the lymphadenopathy cases in pediatric age group due to its costeffectiveness and high diagnostic accuracy A spectrum of different lesions can be evaluated by using FNAC Pediatrician plays a very important role by taking initiative in referring all the pediatric patients for FNAC in a resource limited settings like IndiaKeywords Fine needle aspiration cytology Lymphadenopathy Lymphadenitis
Authors and Affiliations
Komal Sawaimul, M. Banyameen Iqbal, Vijayalaxmi Sawaimul, Tusar Kambale
Keywords
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- EP ID EP475484
- DOI 10.18231/2394-6792.2018.0035
- Views 69
- Downloads 0
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