Lymphadenopathy is a sign of underlying infection, primary or metastatic malignancy. Fine-needle aspiration is a simple and reliable tool for its initial investigation. To analyse the cytomorphological features of malignant lymph node lesions and to determine the frequency of different lymph node malignancies. It was an observational, retrospective study conducted in the cytology section of Department of Pathology, Govt. Medical College, Jammu. It included lymph node aspirates that were reported as malignant. May-Grunwald-Giemsa (MGG) and Papanicolaou (PAP) stained smears were examined under light microscope and the cytological features were studied. A total of 97 malignant lymph node aspirates were included in this study. Metastatic malignancy accounted for maximum number of cases (78, 80.4%) followed by lymphoma (19, 19.6%). Squamous cell carcinoma was the most common metastatic malignancy and also the most frequently diagnosed malignant lesion in our study (42, 43.3%). Cervical lymph nodes were the most commonly aspirated lymph nodes.FNAC of lymph nodes is a simple and valuable tool in the diagnosis of lymph node malignancies.
A wide range of inflammatory as well as neoplastic lesions can present as cutaneous and subcutaneous swellings all over the body. FNAC (Fine Needle Aspiration Cytology) is considered to be the first reliable technique for diagnosing them. To assess the cytological spectrum of lesions presenting as skin and subcutaneous swellings. It was an observational study conducted in the Department of Pathology, Govt. Medical College, Jammu. FNAC was performed on patients presenting with palpable skin and subcutaneous swellings. May-Grunwald-Giemsa (MGG) and Papanicolaou (PAP) stained smears were examined under light microscope. The cytological features were studied and diagnosis was made. The present study had 290 patients which included 169 (58%) males and 121 (42%) females. On FNA examination, 111 (38.3%) were non-neoplastic and 179 (61.7%) were neoplastic. Epidermal inclusion cyst was the most common non- neoplastic lesion. Among neoplastic lesions, 166 cases (57.2%) were benign and 13 cases (4.5%) were malignant. Lipoma was the most common benign neoplastic lesion and was also overall the commonest lesion in our study. Metastatic carcinoma cases were maximum among malignant lesions. Fine Needle Aspiration Cytology is a rapid, reliable technique for initial assessment of cutaneous and subcutaneous swellings and thereby guiding further management.
A diverse range of inflammatory, cystic and neoplastic processes affect salivary glands.Fine needle aspiration cytology (FNAC) is a reliable tool for evaluation of salivary gland lesions. To analyse the cytomorphological features of salivary gland lesions and to assess the frequency of distribution of these lesions. It was an observational study conducted in the Department of Pathology, Govt. Medical College, Jammu. FNAC was performed on patients presenting with salivary gland swelling. May-Grunwald-Giemsa (MGG) and Papanicolaou (PAP) stained smears were examined under light microscope. The cytomorphological features were analysed and diagnosis was made. There were 65 cases which included 31 (47.7%) males and 34 (52.3%) females. The mean age of patients was 42.96 years. On microscopic examination, neoplastic lesions were 35 (53.8%) and non neoplastic lesions were 30 (46.2%). Pleomorphic adenoma was the most common benign neoplastic lesion and also was the most frequently diagnosed lesion in our study (21, 32.3%). Mucoepidermoid carcinoma cases were maximum among malignant lesions (4, 6.2%). Parotid gland was involved in majority of cases. FNAC is a simple, rapid, reliable tool for the evaluation of salivary gland lesions thereby helping clinicians in deciding the further management plan.
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