Diagnostic accuracy of FNAC in diagnosis for causes of lymphadenopathy: a hospital based analysis

Singh, Arjun; Bhambani, Pawan; Nema, Shrikant

doi:10.5455/2320-6012.ijrms20130822

Cited by 12 publications

(15 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, maximum number of cases recorded in age group of 20-29 years and slight male preponderance with male: female ratio of 1.1:1. This is in accordance with various other studies with similar findings [3,5,9,11,[13][14][15][16][17][18][19][20]. While, the study done by Sharma et al [12], Sharma et al [21] and Duraiswami et al [22] showed that females were affected more commonly than males with male: female ratio of 1:1.13, 0.87:1 and 1:1.6 respectively.…”

Section: Discussionsupporting

confidence: 91%

“…Metastatic lymphadenitis was observed in 22/250 (8.8%) cases in our study which is comparable with the study done by other workers, Sharma et al [12] and Sharma et al [21]. In our study the cervical group was the most common to be involved by metastasis (15/22 cases, 68.1%) and the primary was most often from the oral cavity, which was similar findings observed by Hirachand et al [6] and Singh et al [17]. Males outnumbered females in these cases (M: F= 6.3: 1).…”

Section: Original Research Articlesupporting

confidence: 91%

See 1 more Smart Citation

Cytomorphological study of lymph node lesions: a study of 250 cases

Patel¹,

Rathod²,

Shah³

2019

Trop J Pathol Microbiol

View full text Add to dashboard Cite

Introduction: Lymph node enlargement is frequent presentation in all age groups with a wide spectrum of diseases, ranging from infections to malignancy. Therefore, management of cases depends on lymph node pathology, which can be studied by collecting material through fine needle aspiration method that can be used as an outpatient procedure. Objectives: The study was undertaken to assess the cytomorphological features and incidence of various lymph node diseases on fine-needle aspiration cytology (FNAC) and to analyze the utility and diagnostic importance of FNAC in lymph node diseases. Materials and Methods: In the study, total of 250 patients were selected who had presented with lymph node enlargement at Department of Pathology in our Tertiary Care Centre. Results: In this series of FNAC, cervical lymph nodes were involved in majority of 171 (68.4%) cases. The age of patients ranged from 6 months to 92 years with slight male preponderance. Tubercular lymphadenitis comprised the majority (50.8%) followed by reactive lymphoid lesions (20.8%), metastatic malignancies and acute suppurative lymphadenitis (8.8%) each, granulomatous lymphadenitis (8.4%), chronic nonspecific lymphadenitis (1.2%), necrotizing lymphadenitis (0.8%) and lymphoma (0.4%). Conclusion: FNAC is a simple, safe, reliable, inexpensive and the most diagnostic tool in early detection of lymph node lesions.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Original Research Articlesupporting

confidence: 91%

Cytomorphological study of lymph node lesions: a study of 250 cases

Patel¹,

Rathod²,

Shah³

2019

Trop J Pathol Microbiol

View full text Add to dashboard Cite

show abstract

“…This finding is comparable with the observations of Singh et al (2013) 29 who have reported a sensitivity of 81.48% and a specificity of 99.3% in diagnosing lymphoma with FNAC.…”

Section: Observationssupporting

confidence: 91%

A Clinicopathological Study of Cervical Lymphadenopathy

Maheshwari¹,

Padhy²,

Dash³

2015

jemds

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVE: Cervical lymphadenopathy is the most common site of peripheral lymphadenopathy and is frequently encountered in otorhinolaryngology practice. Assessment and predicting its clinical behavior is not an easy task. Fine needle aspiration cytology (FNAC) is being routinely adopted as a special technique to diagnose the cause of lymphadenopathy. This study was undertaken to identify the clinic-demographic parameters in distribution of cases of cervical lymphadenopathy. FNAC was evaluated as a diagnostic tool by corroborating its results with histopathological examination of the excised lymph nodes. MATERIAL AND METHODS: This study was carried out at Hi-Tech Medical College and Hospital, Bhubaneswar, on 100 patients of cervical lymphadenopathy, over a period of two years. Along with detailed history, meticulous clinical examinations and investigations were performed. In all cases the diagnosis provided by FNAC and histopathology examination of the excised lymph node were correlated. RESULTS: Tuberculosis (45%) was the most common cause of cervical lymphadenopathy, followed by reactive (26%) and metastatic secondaries (21%) and lymphoma (8%). Maximum presentation was in 3 rd decade (22%) and bilateral involvement was seen in 20% cases. Posterior triangle was the most common site involved (45%). Overall diagnostic accuracy of FNAC was 92%. CONCLUSION: Most common cause of cervical lymphadenopathy are tuberculosis, reactive lymphadenitis and metastatic secondaries. FNAC is a cheap, quick, readily available and dependable diagnostic modality and can be used as a first line investigatory tool in outdoor departments.

show abstract

“…The FNAC is simple, safe and cost effective and less time consuming procedure. The FNAC can be done in outpatient department without anaesthesia and there will be no disfigurement or scar on the skin [7].…”

Section: Discussionmentioning

confidence: 99%

Comparative Study of Ziehl-Neelsen Stain versus Fluorescent Microscopy in Diagnosis of Tuberculous Lymphadenitis on FNAC at A Tertiary Care Centre

Jadhav

Deshmukh

Mahato

et al. 2019

Trop J Pathol Microbiol

View full text Add to dashboard Cite

Introduction: Worldwide, TB is one of the top 10 causes of death and the leading cause from a single infectious agent. Lymph nodes tuberculosis is considered the most common form of extrapulmonary tuberculosis and most common cause of lymphadenopathy in developing countries like India.Conventional Ziehl-Neelsen (ZN) method & Fluorescent microscopy (FM) plays an important role for detection of Acid fast bacilli (AFB). Objectives: This study is an attempt to find out cost effective, rapid and sensitive technique for early diagnosis of tuberculous lymphadenitis. To study incidence, age, sex and site wise distribution of tuberculous lymphadenitis in this area. Material Methods: The prospective observational study was carried out in the Department of Pathology, S.R.T.R. Govt. Medical College, Ambajogai in year 2017. All 247 aspirated samples from Lymph node swellings were subjected to ZN stain, Fluorescent stain, MGG & PAP stain and 52 cases of tuberculous lymphadenitis were subjected for further analysis, Results: Out of 247 samples aspirated from lymph node lesions 52 were of tuberculous lymphadenitis (21.05%). For tuberculous lymphadenitis, age ranged from 7 months to 77 years. Female predominance was noted with Female to male ratio 1.17:1. Half of the cases were in the range of 21-40 years of age. Cervical region was the commonest siteinvolved with 51.92%. Of 52 aspirates, smear positivity of AFB on ZN stain method was 78.84%, while positivity of Auramine fluorescent stain method was 90.38%. Conclusion: In developing countries with high prevalence of tuberculosis, Fine needle aspiration cytology (FNAC) coupled with fluorescent stain & ZN stain could distinctively improve diagnosis of tuberculous lymphadenitis in patients presenting with superficial lymphadenopathy.

show abstract

Diagnostic accuracy of FNAC in diagnosis for causes of lymphadenopathy: a hospital based analysis

Cited by 12 publications

References 13 publications

Cytomorphological study of lymph node lesions: a study of 250 cases

Cytomorphological study of lymph node lesions: a study of 250 cases

A Clinicopathological Study of Cervical Lymphadenopathy

Comparative Study of Ziehl-Neelsen Stain versus Fluorescent Microscopy in Diagnosis of Tuberculous Lymphadenitis on FNAC at A Tertiary Care Centre

Contact Info

Product

Resources

About