Abstract

Background: Fine Needle Aspiration Cytology (FNAC) is simple, quick, inexpensive and minimally invasive technique used to diagnose different types of swellings located in the head and neck.Methods: A prospective study was performed in a tertiary health care centre from January 2016 to September 2016 in Vadodara, Gujarat. Fine Needle Aspiration Diagnosis was correlated with detail of relevant clinical findings and investigation.Results: In this study, total of 260 cases of suspected cervical lymphadneopathy were subjected to cytological evaluation. The lesions cases were broadly categorised as inflammatory lesions, cystic lesions, benign tumor & tumor like conditions, salivary gland lesions and malignant lesions. Out of these 260 cases, 184 cases were given the diagnosis of either inflammatory or benign conditions and rest 76 cases were diagnosed positive for malignancy. Out of 76 cases positive for malignancy, 65 cases gave the diagnosis of Squamous cell carcinoma metastasing to lymphnode.Conclusion: Fine Needle Aspiration Cytology is easy, simple, safe and non invasive procedure for diagnosis of head and neck swelling and easy way for surgeon whether to decide surgery or not. DOI: 10.21276/APALM.1197

Highlights

  • Fine needle aspiration cytology is routinely being used for the diagnosis of various neoplastic and non neoplastic lesions of head and neck region.1It is a valuable procedure for the initial evaluation of swelling in head and neck region and it can differentiate between benign and malignant lesion.[1]

  • The use of fine needle aspiration cytology (FNAC) for the diagnosis of metastatic malignancies in the lymphnodes is an established method as lymphadenopathy may be the first sign of malignancy in a patient.[2]

  • Patients referred to the Dept of Pathology with the chief complaint of swelling in head and neck region and who required Fine Needle Aspiration Cytology (FNAC) procedure as a primary investigation were considered for the study

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Summary

Introduction

Fine needle aspiration cytology is routinely being used for the diagnosis of various neoplastic and non neoplastic lesions of head and neck region.1It is a valuable procedure for the initial evaluation of swelling in head and neck region and it can differentiate between benign and malignant lesion.[1]The use of fine needle aspiration cytology (FNAC) for the diagnosis of metastatic malignancies in the lymphnodes is an established method as lymphadenopathy may be the first sign of malignancy in a patient.[2]FNAC confirms the presence of metastatic disease, and gives clues regarding the nature and origin of the primary tumor.[3]. Fine needle aspiration cytology is routinely being used for the diagnosis of various neoplastic and non neoplastic lesions of head and neck region.1It is a valuable procedure for the initial evaluation of swelling in head and neck region and it can differentiate between benign and malignant lesion.[1]. The use of fine needle aspiration cytology (FNAC) for the diagnosis of metastatic malignancies in the lymphnodes is an established method as lymphadenopathy may be the first sign of malignancy in a patient.[2]. Fine Needle Aspiration Cytology (FNAC) is simple, quick, inexpensive and minimally invasive technique used to diagnose different types of swellings located in the head and neck

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