Cytomorphological spectrum of enlarged lymph nodes

Authors : Ashwini H N, Mounika T S, Sneha S P, Monish Ram S D, Shruthi , Srusti Goyal

DOI : 10.18231/j.ijpo.2021.057

Volume : 8

Issue : 2

Year : 2021

Page No : 294-298

Introduction: Fine Needle Aspiration cytology (FNAC) is a simple, cost effective, rapid and reliable technique which can be used as a routine outpatient department (OPD) procedure and first line of investigation in diagnosing a variety of superficial and deep lesions. Enlarged lymph nodes is one of the common complaint in the surgical OPD’s. Lymphadenopathy is of great clinical significance and the underlying cause may range from a treatable infectious etiology to malignant neoplasms. Any lymph node greater than 1 cm can be aspirated with least complications to arrive at the diagnosis.
Objectives of Study: To study the cytomorphology of enlarged lymph nodes to aid in diagnosis and treatment.
Materials and Methods: This is a retrospective study with 261 cases of lymph node lesions.Clinical data and FNAC of lymph node cytology reports were obtained from the archives during the period of January 2019-December 2019(1 year study).
Results: In this study a total of 261 cases were examined. The age group of patients ranged from 4yrs - 72yrs. Out of 261 cases, 116 cases were reported as Caseating granulomatous lymphadenitis, followed by 99 cases as Reactive lymphadenitis, 25 cases as Suppurative granulomatous lymphadenitis, 15 cases as Suppurative lymphadenitis, 3 cases as Metastatic squamous cell carcinoma, 2 cases as Metastatic adenocarcinoma, 2 cases as Non Hodgkin lymphoma, 1 case as Hodgkin lymphoma, 1 case as Kikuchi lymphadenitis, 1 case as BCG lymphadenitis.
Conclusion: FNAC Lymph node emphasizes on diagnosing inflammatory treatable conditions and malignant neoplastic conditions, there by guiding the patients for early intervention.

Keywords: Lymph node cytology, Caseating lymphadenitis.


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