Background: Lymphadenopathy, is any abnormal enlargement of the lymph node due to the inltration by the inammatory or the neoplastic cells. This is the most common and may be the only presentation of the patient attending the outpatient department (OPD). Fine needle aspiration cytology (FNAC) is a simple, reliable and rst line OPD investigation in such cases. Material And Methods: It is a retrospective study carried out over a period of 18 months (1/1/2021) to 30/6/2022) in the Department of Pathology, Indira Gandhi Medical College (IGMC) Shimla, a tertiary care hospital of the state. All the cytology cases received in the department were included in the study. Results: Of the total 2870 cases, received in the department of Pathology, 880 (30.6%) cases were from the lymph node. Benign pathology was seen in 645 (73.3%) cases and 235 (26.7%) cases had a malignant lesion. Of these 235 malignant cases, 205 (87.5%) cases were positive for malignancy while 30 (12.8%) cases revealed a hematologic malignancy. Majority of the patients were above 40 years of age. Males contributed to 58.7% cases while 41.3% were females. Cervical lymph node was most common lymph node involved followed by supraclavicular lymph nodes. The squamous cell carcinoma (36.1%) was the most common metastatic lesion followed by adenocarcinoma (28.3%). NHL was more common among the lymphoproloiferative disorders. FNAC is a rapid a Conclusion: nd a fairly reliable test for the diagnosis of metastatic lesion and at the same time giving the clue about the origin of the primary occult malignancy.
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