Cytomorphological spectrum of pediatric head and neck lesions-a comparative study in a tertiary teaching hospital in Western Uttar Pradesh, India

Mohan, Alok; Jain, Ravindra Kumar; Thakral, Rajender Kumar

doi:10.5958/2394-6792.2016.00085.5

Cited by 5 publications

(10 citation statements)

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“…Similar results were reported by Rapkiewicz et al ,[ 7 ] Agarwal D et al ,[ 2 ] and Mohan A et al . [ 4 ] where maximum aspirates were inflammatory in nature [ Table 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…[ 2 ] In addition to this, ancillary techniques such as cell block preparation, cytogenetics, flow cytometry, and immunohistochemistry can be carried out on the samples obtained from the procedure. [ 3 4 ] Although it has been used as a valuable diagnostic technique for evaluating the mass lesions in adult patients, the application of FNAC in pediatric population was not acknowledged until recently. [ 5 6 ] Now, FNAC is gaining acceptance in pediatric population due to its benefits of lack of sedation and general anesthesia.…”

Section: Introductionmentioning

confidence: 99%

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A study of cytomorphological spectrum of head and neck lesions in pediatric age group

Rajesh,

Wadone,

Masgal

et al. 2023

J Cytol

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Introduction: Fine Needle Aspiration Cytology (FNAC) is a well-established early diagnostic technique for evaluating mass lesions in adult patients. Now, FNAC in children is gaining acceptance and is used as a first-line investigation in diagnosis of pediatric lesions. Aims: To analyze the cytomorphologic spectrum of head and neck lesions in pediatric age group with histopathological correlation wherever possible and to study the utility of FNAC in pediatric head and neck lesions. Materials and Methods: A prospective study was carried out on all FNACs of head and neck lesions in pediatric age group (0-18 years), detected clinically or under radiological guidance for a period of 3 years from August 2018 to July 2021. Results: The study included 238 cases. Most of the cases were seen in the age group of 13-18 years and with male to female ratio of 1.35:1. Most common site of FNAC was lymph nodes (70.2%) and the commonest lesion encountered was reactive lymphadenitis (50.8%). Second most common site was thyroid (15.9%). Soft tissue/bone, salivary gland, miscellaneous/skin lesions were also encountered. Among the 43 neoplastic lesions, benign (31 cases) were more common than the malignant (12 cases). The malignant cases included non-Hodgkins lymphoma, Hodgkins lymphoma, metastasis to lymph node, low-grade sarcoma, papillary thyroid carcinoma, and Langerhans cell histiocytosis of bone. Histopathological correlation was done in 32 cases (13.4%). Statistical analysis showed a sensitivity of 85.29% and specificity of 97.74%. Overall diagnostic accuracy was 96.3%. Conclusion: This study highlighted various cytomorphological patterns in head and neck lesions with high diagnostic accuracy in children. FNAC helps in proper planning of treatment modalities in head and neck masses in pediatric age group.

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“…Similar results were reported by Rapkiewicz et al ,[ 7 ] Agarwal D et al ,[ 2 ] and Mohan A et al . [ 4 ] where maximum aspirates were inflammatory in nature [ Table 6 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A study of cytomorphological spectrum of head and neck lesions in pediatric age group

Rajesh,

Wadone,

Masgal

et al. 2023

J Cytol

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“…16 Prathima et al, 13 showed concordant results in 81.6% cases with cyto-histopathological correlation in 9.4% cases.…”

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confidence: 88%

“…In Mohan et.al., 16 study comparison between cytological and histopathological diagnosis were available in only 8.33% cases; with a concordance in cytomorphological findings and histopathological diagnosis in 88.89% cases while discrepancy in 11.11% cases. 16 Prathima et al, 13 showed concordant results in 81.6% cases with cyto-histopathological correlation in 9.4% cases.…”

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confidence: 93%

Fine needle aspiration cytology: A diagostic tool in evaluation of lymphadenopathy in paediatric age

2020

IJPO

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Introduction: Lymphadenopathy is one of the commonest clinical presentations in children and a common scenario for pediatrician. Unexplained lymphadenopathy often poses a great deal of anxiety and concern in parents. Fine needle aspiration cytology (FNAC) is a minimally invasive, cost effective and a well established technique as a high diagnostic efficacy tool. FNAC especially in benign inflammatory condition has aided in clinical practice by avoiding unnecessary excision biopsies also limiting its complications and psychological trauma to patient. The present study was conducted to evaluate FNAC as a diagnostic tool in pediatric lymphadenopathy and study spectrum of various cytomorphological patterns in paediatric age group. Materials and Methods: The present study was undertaken in the Department of Pathology, in a tertiary care hospital in Maharashtra. Reports of 312 pediatric FNAC (<16years) of various lymph nodes were studied from July 2014 to November 2017 retrospectively. Results: Maximum number of aspirates were found in 12-16 years (38.78%) i.e older age group and were of benign nature i.e. 96.80% with remaining (3.20%) malignant in nature. Anterior cervical lymph nodes predominate over other lymph nodes (41.02%) followed by posterior cervical lymph nodes (31.40%) when FNAC anatomical site subdivision was done. Maximum number of aspirates were found to be reactive lymphadenitis (61.53%) followed by tuberculous lymphadenitis (8.65 %). Conclusion: To conclude fine needle aspiration cytology has emerged as a reliable initial screening tool in all the lymphadenopathy cases in pediatric age group due to its cost-effectiveness and high diagnostic accuracy. A spectrum of different lesions can be evaluated by using FNAC. Pediatrician plays a very important role by taking initiative in referring all the pediatric patients for FNAC, in a resource limited settings like India.

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“…FNAC does not require anesthesia, causes minimal trauma to the patient and carries less risk of complications. 3,10 It also has an advantage, since this OPD procedure helps to avoid surgery in non-neoplastic or inflammatory conditions. It can be repeatable, reduces the rate of the exploratory procedure, and provides early differentiation of benign from malignant pathology.…”

Section: Introductionmentioning

confidence: 99%

Fine needle aspiration cytology in head and neck masses, assessment of need for incision/excision biopsy

Yenkure

Pore

Joshi

et al. 2023

Int J Otorhinolaryngol Head Neck Surg

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Background: FNAC is a rapid, simple, cost-effective, and minimally invasive technique used to diagnose different types of swelling occurring in head and neck masses, and assess its need for biopsy. Methods: The study included 650 patients, who presented with palpable head and neck swelling over a period of 18 months, at our hospital. FNAC procedure has been performed and smears are stained with Papanicolaou stain, Gemisa stain, and H and E stain. Cyto-histopathological correlations were done to evaluate the need for a biopsy. Results: Out of 650 cases, lymph node lesions constitute 370 cases (56.90%) most commonly involved. Thyroid gland lesions constitute 189 cases (29.10%) followed by salivary gland lesions 38 cases (5.80%), and other 53 cases (8.20%). Histo-pathological correlation of 116 cases were done out of 650. Conclusions: FNAC serves as a guide to appropriate therapeutic management whether to locally excise a benign tumor or plan radical surgery and helps as an adjunct to histopathology.

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Cytomorphological spectrum of pediatric head and neck lesions-a comparative study in a tertiary teaching hospital in Western Uttar Pradesh, India

Cited by 5 publications

References 0 publications

A study of cytomorphological spectrum of head and neck lesions in pediatric age group

A study of cytomorphological spectrum of head and neck lesions in pediatric age group

Fine needle aspiration cytology: A diagostic tool in evaluation of lymphadenopathy in paediatric age

Fine needle aspiration cytology in head and neck masses, assessment of need for incision/excision biopsy

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