Cytopathological spectrum of cervical lymphadenopathy in a tertiary care centre of Western Uttar Pradesh

Authors : Amaninder Singh, Ranjan Agrawal, Nitesh Mohan, B C Choudhary

DOI : 10.18231/j.ijpo.2019.041

Volume : 6

Issue : 2

Year : 2019

Page No : 213-217

Introduction: Cervical lymphadenopathy is common in India and may present as a diagnostic problem to the clinicians. Diseases affecting cervical lymph nodes are of varying severity starting from simple infectionto malignant pathology.
Objective: The purpose of this study was to observe the various clinical presentations of cervical lymphadenopathy and correlate the cytological and histopathological findings to estimate its efficacy.
Materials and Methods: A prospective study of 290 cases of Fine needle aspiration cytology (FNAC) of cervical lymphadenopathy was conducted and studied. Histopathological correlation was done in all the cases that were biopsied. The study was carried out over a period of one year in thedepartment of Pathology, Rohilkhand Medical College & Hospital, Bareilly in Western Uttar Pradesh. The clinical and pathological findings were studied and their importance in reaching towards a diagnosis was also evaluated.
Result: Out of 290 cases, the most common diagnosiswas reactive lymphadenitisin 78 cases followed second in line by 74 cases of granulomatous lymphadenitis. The average median age of study population was 40 years. 56 study subjects presented with Reactive lymphadenitis and 36 cases of granulomatous lymphadenitis. 289 had the size of lymph node less than 3 cm. Reactive and tubercular lymphadenitis cases were observed more on the left side and malignant cases more on the right side.
Conclusion: The present study highlights the role of cytopathology in theearly diagnosis and effective management of cervical lymphadenopathy.

Keywords: Cervical, Lymphadenopathy, FNAC, Biopsy, Tubercular.


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