Abstract
Background: Fine needle aspiration cytology is a veritable tool for the assessment and diagnosis of superficial lymph node enlargement. The cytologic patterns of lymph node fine needle aspirations (FNAs) exhibit a wide variation in different diseases. Lymphadenopathy is of great clinical significance and the underlying cause may range from a treatable infectious etiology to malignant neoplasms. The aim of the present study is to study and evaluate the patterns of various lymph node lesions on fine needle aspiration cytology Methods: : This retrospective study was conducted on 160 selected patients including all age groups and both sexes with lymphadenopathy who had undergone FNAC. We reviewed all the cases of lymphadenopathies. The cytomorphological features seen in the aspirate were critically analysed and correlated with their aetiology Result: : Out of 160 cases, the most frequent cause of lymphadenopathy was found to be Reactive Lymphadenitis with 89 cases (55.62%). The next frequent diagnosis was Tuberculosis with 38 cases(23.75%) followed by malignant lymphoma in 8 cases (5%) and metastatic lymphadenopathy in 7 cases (4.37%). Conclusion: FNAC is a simple, safe, reliable, and inexpensive method in early detection of lymph node lesions, which has been proven in this study again. DOI: 10.21276/APALM.1355
Highlights
Fine needle aspiration cytology (FNAC) is a simple, safe, reliable, and inexpensive method in early detection of lymph node lesions, which has been proven in this study again
Fine needle aspiration cytology was thought as a means to confirm a clinical suspicion of local recurrence or metastasis of known cancer without subjecting the patient to further surgical intervention
Cytological examination of FNA smears can determine whether lymphadenopathy is due to reactive hyperplasia, infection, metastatic malignancy or malignant lymphoma [2].The present study reports the results of FNAC of lymphadenopathies based on cytomorphology
Summary
Fine needle aspiration cytology was thought as a means to confirm a clinical suspicion of local recurrence or metastasis of known cancer without subjecting the patient to further surgical intervention. The role of FNAC is not limited to neoplastic conditions It has a valuable role in the diagnosis of inflammatory, infectious and degenerative conditions. Lymph nodes become enlarged in a wide spectrum of diseases, including infection and malignancy. Cytological examination of FNA smears can determine whether lymphadenopathy is due to reactive hyperplasia, infection, metastatic malignancy or malignant lymphoma [2].The present study reports the results of FNAC of lymphadenopathies based on cytomorphology. Fine needle aspiration cytology (FNAC) is a veritable tool for the assessment and diagnosis of superficial lymph node enlargement. The cytologic patterns of lymph node fine needle aspirations exhibit a wide variation in different diseases. The aim of the present study is to study and evaluate the patterns of various lymph node lesions on fine needle aspiration cytology
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