DIAGNOSTIC ROLEOF FINE NEEDLE ASPIRATION IN CERVICAL LYMPHADENOPATHY

Dr. B. Shanthi, Dr. S. Visalakshi

Abstract


Cervical  lymphadenopathy is the commonest and frequent clinical presentation  in patients of all  age group ,the etiology range from non specific-reactive,inflammatory,lymphoproliferativedisease to metastatic deposits. FNAC is a safe ,easy, quick diagnostic  technique and is the first line of  investigation in evaluation  of lymphadenopathy. The objective of this study is to evaluate the spectrum of lesions in cervical lymphadenopathy and the  diagnostic role of FNAC in cervical lymphadenopathy.

METHODS: The  study was conducted in Department of Pathology, Government Medical college Pudukkottai ,on 100 cases of cervical  lymphadenopathy over period  of  six months from  August 2018 to January 2019.

RESULTS: In this study most of the cases nonneoplastic  (86%) and rest cases were neoplastic (14%).The commonest  frequent cause for nonneoplastic was Reactive lymphadenitis ,followed by Tuberculous  lymphadenitis.

CONCULSION: FNAC of cervical lymph node is an excellent first line diagnostic tool to determine the nature of lesion.  In our study, the predominant cause of lymphadenopathy was reactive lymphadenitis, seen in more than half of total cases, followed by tuberculous lymphadenopathy and malignant neoplasms. FNAC was helpful in establishing the diagnosis and quick guide to assess the mode of treatment.


Keywords


FNAC, Lymphadenopathy, Tuberculous lymphadenitis, Metastatic lymphadenitis.

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