Lymphadenopathy is a very common clinical manifestation of many diseases, defined as an abnormality in the size or character of lymph nodes, caused by the invasion or propagation of either inflammatory cells or neoplastic cells into the node. The clinical examination may be inaccurate in differentiating benign from neoplastic enlargement of the lymph node. Surgical excision of a palpable peripheral lymph node is relatively simple; it does require anaesthesia, strict sterility and theatre time and it leaves behind a scar. Fine needle aspiration cytology offers the advantages of an immediate with little cost and trauma. The present study is being undertaken to evaluate its accuracy in the diagnosis of tuberculosis and malignancy of the cervical lymph nodes. AIM AND OBJECTIVETo assess the usefulness of FNAC in the diagnosing cervical lymph node enlargement and cytological features of common pathological conditions affecting the lymph nodes and to evaluate the diagnostic accuracy of FNAC and open biopsy in cervical lymphadenopathy. MATERIALS AND METHODSA total of 100 patients were subjected for the study at CMCH and RC, Irungalur. FNAC was performed under aseptic precaution of the cervical lymph nodes using a 22G needle and HPE correlation was obtained for these patients remaining. These patients were subjected to surgical excision for radical dissection and the HPE correlation for specimen was obtained. RESULTSThe result shows that the age wise distribution of patient with benign lesions were within 21-25 age groups and those with malignant lesion were in 31-50 age groups. Among the incidence of male-to-female ratio was 107:93. The duration of symptom was <6 months (<3 cm 50%/3-6 months 45%). The gross morphology shows that TB adenitis patient with positive matting nodes were 18 out of 25 patients were positive for matted nodes (94.47%). According to AJCC cancer staging the size of the nodes were assessed, which shows most of the nodes <3 cm (84%). The result shows comparison between FNAC and HPE in patient who had lymphoma and 83 out of 100 were +ve for FNAC and all patient +ve for HPE. CONCLUSIONThis study demonstrates that fine needle aspiration is a safe accurate and valuable tool in the evaluation of cervical lymphadenopathy.(1) Analysis shows that HPE is gold standard for evaluation of cervical node in neck for accuracy in approaching 100%. FNAC analysis shows that accuracy is 95%, since HPE diagnosis is invasive procedure. FNA is better alternate to HPE for malignancy and occult primary for lymph node and benign lesion, it is complimentary. So we recommend that reliable supplement, however, role of HPE is absolute. KEYWORDSLymphadenopathy, Diagnostic Efficacy, Fine Needle Aspiration Cytology and Histopathological Examination. HOW TO CITE THIS ARTICLE:Rajachidambaram K, Natraj T. A comparative study of fine needle aspiration cytology and open biopsy in the diagnosis of cervical lymphadenopathy in rural tertiary centre.
Oesophageal cancer is one of the least studied and deadliest cancers worldwide, because of its aggressive nature. It ranks sixth among all cancers in mortality. AIMS AND OBJECTIVES/THE AIMS OF THIS STUDY IS TO ANALYSE AND STUDY1. The incidence of carcinoma oesophagus, age and sex wise; 2. The clinical presentation of carcinoma oesophagus; 3. The common sites of occurrence; 4. The pathological pattern of carcinoma oesophagus. METHODS/PLACE OF STUDY
BACKGROUND Studies were undertaken to evaluate whether different abdominal surgeries could benefit from early enteral feeding. Early feeding improves the outcomes of patients with trauma and burns, although few studies have examined its use after surgeries. This study compares an early regular diet to conventional postoperative dietary management to determine GI complications after abdominal surgeries. The aim of the study is to analyse and compare early enteral feeding with conventional postoperative dietary management to access complications after abdominal surgeries. MATERIALS AND METHODS Place of study-Department of General Surgery, Chennai Medical College and Research Centre. Period of study-Between January 2015 to February 2017. Totally, 50 patients who had undergone various abdominal surgeries in that 25 cases are subjected to study and remaining 25 were control objects. RESULTS The results of our study the effect of enteral feeding analysed by the main outcome measures like vomiting, wound infection, mortality showed significant betterment to the control group. The length of the hospital stay was relatively less. CONCLUSION This study provides evidence to support the use of enteral feeding in surgical patients and indicate no increased morbidity or mortality. For early enteral nutrition to be effective, it must actually be received and tolerated by the patient.
Background: Acute abdominal pain is one of the most frequent causes of admission to emergency departments. Here the difference of outcomes or etiology of acute abdominal pain according to age is an important criteria. The aim is to study the age and sex distribution of these conditions. In Trichy SRM
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