FINE NEEDLE ASPIRATION CYTOLOGY IN LYMPH NODES WITH SPECIAL REFERENCE TO TUBERCULOUS LYMPHADENOPATHY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 20
Abstract
BACKGROUND FNAC provides an alternative to excision biopsy for lymph nodes and is an easy procedure for collection of material for cytomorphological and bacteriological examination. Aims and Objectives- To analyse the utility and diagnostic importance of FNAC in lymph node disease. To assess the cytomorphological features and incidence of various lymph nodes diseases on FNAC. To study the cytomorphological pattern of tuberculous lymphadenitis in the population in and around SIMS. To correlate the acid fast bacilli [AFB] positivity with cytomorphological patterns. MATERIALS AND METHODS The study was a descriptive cross-sectional study carried out from July 2016 to June 2017 in Department of Pathology, Saraswathi Institute of Medical Sciences, Anwarpur, Pilkhuwa, Hapur, U. P. The inclusion criteria included patients with clinical presentation of lymph node enlargement with non-specific complaints. All patients were of age group 20 - 60 years. Consent to participate in the test was taken. Fine needle aspiration cytology (FNAC) was performed on enrolled patients by the pathologist. The following staining methods were used: May-Grunwald-Giemsa Staining, Papanicolaou Staining and Ziehl-Neelsen Staining. RESULTS In this study a total number of 100 cases of lymphadenopathy were studied, out of which 95% were benign and 5% were malignant. In our study, most common lesion on cytology was found to be tuberculous lymphadenitis (40%). In the present study, the lesions were seen in all age group ranging from 20 years with a mean age of 35.64 years. Maximum cases were seen between 20 - 30 years. Out of 100 cases, 46% were male and 54% were female with significant female preponderance; 23:27 (M: F) sex ratio was observed. In our study, cervical lymph nodes (70%) were frequently involved. Tuberculous lymphadenitis was seen in 15 out of 40 (55.6%). Correlation between AFB positivity with cytomorphological patterns was seen in 36 out of 40 cases. CONCLUSION FNAC can be performed as an outpatient department procedure. The procedure is safe, well accepted by patients, very cost effective and requires minimum instrumentation in comparison to excision biopsy
Authors and Affiliations
Maninder Jeet Singh, Surabhi Solanki, Sarandeep Singh Puri, Dhot P. S, Parul Singhal
Keywords
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- EP ID EP431394
- DOI 10.14260/jemds/2018/548
- Views 80
- Downloads 0
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