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.

No abstract

Cervical cancer is one of the leading causes of mortality and morbidity in women worldwide. Invasive cervical carcinomas are preceded by a stage in which the abnormal cells are confined to the epithelium (Intraepithelial stage). Women can be routinely screened for intraepithelial stage with cervical cytology smears and hence invasive stage can be prevented by early diagnosis. Cervical cytology smears also an useful tool in aiding the diagnosis of infectious and inflammatory conditions of the cervix. Objectives: To evaluate the cytomorphological spectrum of cervical smears referred to a tertiary hospital. Materials and Methods: It is a retrospective observational study. Clinical data and pap smear cytology reports were obtained from the archives during the period of May 2018-May 2019(1 year study). All smears were reported as per "Bethesda system of reporting cervical cytology " 2001. Results : A total of 1241 cases were examined. The age group of patients ranged between 18yrs to 75 yrs. A total of 1203 cases (97%) were reported as Negative for intraepithelial lesions/malignancy, out of which 124 cases(0.1%) showed vaginal candidiasis, 56 cases (0.05%) were reported as Trichomonas vaginalis infection, 321 cases (0.26%) as Bacterial vaginosis, 1 case of HSV infection associated changes, 67 cases(0.05%) were reported as inflammatory smears. 38 cases showed abnormality, out of which 29 cases were of ASC-US,3 cases of LSIL, 3 cases were reported as HSIL, 2 cases as Squamous cell carcinoma and 1 case with adenocarcinoma cervix. Conclusion: Cervical inflammatory lesions (including infections) and neoplastic lesions (includes intraepithelial and epithelial malignancies) can be diagnosed by Cervical cytological smears.