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Introduction: Tubercular lymphadenitis is the most common form of extrapulmonary tuberculosis. Tubercular lymphadenopathy can progress to abscess and fistula formation. Further during the course of treatment paradoxical upgrading reaction of lymphnodes like appearance of new lymphnodes and sinus formation can occur. Objective: The aim of the study was to evaluate the role of repeated aspirations as an adjunct to ATT in the treatment of tubercular lymphadenitis presenting with abscess. Material and Methods: The study involved 180 cases of cervical lymphadenopathy who presented in the ENToutpatient Department of Bundelkhand Medical College Sagar between Jan 2016 to Sep 2017. 102 cases were diagnosed by FNAC and 3 cases were diagnosed by excision biopsy as tubercular lymphadenitis. Only new cases of were included Out of the 105 cases of diagnosed with tubercular lymphadenitis 15 cases presented with cold abscess initially. All thepatients were started onanti-tubercular treatment. 10 cases developed abscess during the course of treatment. All cases presenting with abscess were subjected to repeated aspiration biweekly. Results: All cases of tubercular lymphadenitis and abscess showed complete recovery with 6 months of treatment. Conclusion:Repeated aspirations in cold abscess as an adjuvant to ATT is a less invasive procedure than surgical excision and reduces the complications like sinus formation. Close supervision by the ENT specialist is mandatory during the course of medical treatment to combat paradoxical upgrading reactions especially abscess formation.

Introduction: Cervical swellings and lumps are common clinical problems. Neck swellings in children are commonly congenital and benign tumours while neck swellings in adults should be aimed to exclude malignancy. FNAC is the single most important test in the evaluation of neck swellings especially metastatic lymph nodes. FNAC helps in planning out surgical management of neck masses which can be confirmed with histopathology which is the gold standard for diagnosis. Objective: The aim of the study was to evaluate the various swellings in the neck and to compare the findings of FNAC and HPE. Material and Methods: The study is a prospective study conducted over a period of two years from January 2016 to January 2018 in the Department of ENT and Department of Pathology in Bundelkhand Medical College Sagar M.P. The study involved 100 cases of patients with neck swellings who attended ENT OPD and gave consent for both FNAC and biopsy or excision biopsy and HPE. Results: The overall accuracy of FNAC in diagnosing neck swellings is similar to that of HPE. Conclusion: FNAC is an important preoperative tool in the diagnosis of various neck swellings of the neck and is recommended as the first line of investigation in various neck swellings.

Syringoma is a benign adenexal neoplasm formed by well differentiated ductal elements. They are tumors of eccrine origin commonly found over upper part of cheek, lower eyelid, axilla, chest, abdomen, penis and vulva. A 40 year male reported in the OPD with an asymptomatic swelling over the hard palate for the past 15 year. The tumor was excised and sent for histopathological examination. Histological examination showed clusters of eccrine ducts lined by doubled layer epithelial cells. Lumen showed keratinous accellular eosinophillic material suggestive of Syringoma. The case of Syringoma is being reported for its unusual presentation over the palate suggesting it should be considered in the differential diagnosis of various swelling of the palate.