Diagnostic Value of Fine Needle Aspiration Cytology in the Assessment of Cervical Lymphadenopathy

Abstract

Background: Cervical lymphadenopathy is one of the most frequent clinical manifestations of patients attending outpatient department. The etiology of cervical lymphadenopathy varies from inflammatory condition to malignant lesion. Fine needle aspiration cytology (FNAC) is a safe, easy and quick diagnostic technique. It has become the first line of investigation in the evaluation of lymphadenopathy. The objective of this study was to evaluate the spectrum of lesions in cervical lymphadenopathy and role of FNAC in the diagnosis of cervical lymphadenopathy.Methods: This study was conducted over a period of two years (May 2015 to May 2017). 206 patients with cervical lymphadenopathy were included in the study.Results: Most of the cases were non-neoplastic (91.74 %) whereas (8.26 %) cases were neoplastic. The most common cause of non-neoplastic lymphadenopathy was reactive lymphadenitis. Histocytological correlation was done in 32 cases. The diagnostic accuracy of FNAC for metastatic carcinoma and reactive lymphadenitis was 100% and 93.75% respectively.Conclusions: FNAC is a safe, cost effective and reliable procedure to diagnose the causes of cervical lymphadenopathy.Med Phoenix. Vol. 3, Issue. 1, 2018, Page: 36-40

Cytological Findings of Fine Needle Aspiration Cytology in Diagnosing Causes of Cervical Lymphadenopathy in Patients Attending Health Care Facilities of Janakpur, Nepal

“…Maximum number of cases in our study was in the age group 11-20 years which is comparable with those of Poudel A et al [3] and Patel KR et al [12]. In our study, the commonest diagnosis was reactive lymphadenitis followed by tubercular lymphadenitis which is in consonance with the study done by Shakya G et al [2], Poudel A et al [3], Sushama B et al [13] and Hirachand S et al [14]. The probability of getting more number of reactive lymphadenitis is possibly because of infections that commonly develops at sites, the lymphatic drainage of which is to cervical lymph nodes.…”

Malignant Cervical Lymphadenopathy among Fine Needle Aspiration Cytology in a Tertiary Care Center in Far Western Nepal: A Descriptive Cross-sectional Study

“…There is slight male preponderance in both primary hematolymphoid (male: female = 1.8:1) and metastatic lymphadenopathy (male: female = 1.26:1) which was also seen in other studies. 6,11 Primary hematolymphoid malignancy were more common in children and young adults whereas metastatic lymphadenopathy were more common in old age after 5 th decade of life, finding similar to study by Quadri et al, 6 and Bhatta et al 8 We found 14 cases of hematolymphoid malignancy among which Non-Hodgkin's lymphoma was commonest. Non-Hodgkin's lymphoma (Fig.…”

“…6 In our study, frequency of metastatic cervical lymphadenopathy is 6.36 % of total cervical lymph node aspirations. Bhatta et al, 8 Dwivedee et al, 9 Mainali et al, 10 and Hirachand et al, 11 also reported metastatic cervical lymphadenopathy in 6.32%, 10.6%, 7.11% and 12.3% cases respectively. There is slight male preponderance in both primary hematolymphoid (male: female = 1.8:1) and metastatic lymphadenopathy (male: female = 1.26:1) which was also seen in other studies.…”