Evaluation of fine needle aspiration cytology of cervical lymphadenopathy in Bir Hospital

Singh

Int J Otorhinolaryngol Head Neck Surg

et al. 2020

Background: Cervical lymphadenopathy is the sign of a disease process which involves lymph nodes that are anomalous in uniformity and dimensions. It is very vital to exercise fine-needle aspiration biopsy, histopathological investigation, and ultrasonography for the diagnosis of palpable lesions.Methods: This is a prospective study of 12-month duration from January 2018 to December 2018 in 61 patients presenting with cervical lymphadenopathy admitted in the ENT Department at Geetanjali Medical College and Hospital, Udaipur. Results: In biopsy, most common diagnosis was chronic granulomatous lymphadenitis i.e. in 62.3% of the patients. As compared to biopsy, fine-needle aspiration cytology (FNAC) showed chronic granulomatous lymphadenitis in 46% of the patients, with overall sensitivity of 91.1%, and specificity of 60.0%. and accuracy of 88.5%. Whereas ultrasonography (USG) reported, 64% cervical lymphadenopathy in patients, with overall sensitivity came out to be 91.1%, specificity to be 40.0%, accuracy was 86.9%.Conclusions: Present study showed that biopsy is the gold standard procedure for diagnosis of cervical lymphadenopathy lesions followed by FNAC, USG. Tuberculous lymphadenitis was most common diagnosis made by the diagnostic modalities.

Section: Resultscontrasting

confidence: 53%

Clinical profile of cervical lymphadenopathy and to find diagnostic efficacy of fine-needle aspiration cytology, ultrasonography and histopathological examination

Singh

Int J Otorhinolaryngol Head Neck Surg

et al. 2020

Trop J Pathol Microbiol

“…A declining trend in cases has been observed after 30 years of age. This corroborates with other studies conducted by other studies [8]. The high incidence of tuberculosis may be explained by the fact of low socioeconomic condition, poorhygiene and lack of awareness in the region.…”

Section: Most Of the Cases Occurred Between 20-29 Years Of Agesupporting

confidence: 92%

“…Males were affected morethan females. These findings correlate with study by Shakera N Baji and coworker [8]. The incidence of reactive lymph node enlargement fell steadily the 5th decade onwards and malignant lesions being most common.…”

Section: Most Of the Cases Occurred Between 20-29 Years Of Agesupporting

confidence: 90%

Role of Fine needle aspiration cytology (FNAC) in patients presenting with cervicallymphadenopathy referred to Gujarat Adani Institute of Medical Science, Bhuj, Kutch

Upadhyay¹,

Shingala

2018

Background and Aim: Fine Needle Aspiration Cytology (FNAC) is a simple, quick and inexpensive method that is used to sample superficialmasses like cervical lymph node found in the neck and is usually performed in the outpatient clinic. Cervically mphadenopathy is a common clinical presentation across patients of all age group. The aetiology may range from a benign nonspecificin flammation to lymphoproliferative disorders and metastatic malignancy. The present study was undertaken to study non neoplastic and neoplastic lesions of enlarged lymph nodes by Fine needle aspiration cytology (FNAC) in patients presenting with cervical lymphadenopathy referred to pathology department from the Gujarat Adani Institute of medical science, Bhuj, Kutch over a period of two years. Methods: Total of 850 patients were subjected to FNAC of cervical lymph nodes over two years period. Since in 35 patients, the aspirate was inadequate the remaining 815 cases were analyzed. Results: Overall tuberculous lymphadenitis was the most common finding (42.45%), followed by reactive hyperplasia (35.09%). Malignant pathology accounted for 20.24% of cervical lymph node enlargement, most of which was due to metastaticsquamous cell carcinoma (65.4%). Conclusion: This study highlights the usefulness of FNAC as a reliable method for diagnosis of cervical lymphadenopathy

“…Lymphadenopathy is one of the commonest clinical presentation in outpatient clinic of many hospitals and quite worrying to patients. 1 Enlarged lymph node can be the first clinical presentation of metastatic disease in patient suffering from non-hematological malignancies. 2 The utility of Fine Needle Aspiration Cytology (FNAC) is well established in diagnosis of metastatic lymph nodes, new onset or recurrence.…”

Section: Introductionmentioning

confidence: 99%

Malignant Cervical Lymphadenopathy among Fine Needle Aspiration Cytology in a Tertiary Care Center in Far Western Nepal: A Descriptive Cross-sectional Study

Shreepaili

Dhakal

2022

Medphoenix

Introduction Metastatic cervical lymphadenopathy is a diagnostic and therapeutic challenge. The utility of Fine Needle Aspiration Cytology is well established in the diagnosis of metastatic lymph nodes, new-onset, or recurrence. This study aims to find the prevalence of metastatic cervical lymphadenopathy among fine needle aspiration cytology in a tertiary care center in far western Nepal. Materials and Methods This is a descriptive cross-sectional study carried out in Seti Provincial Hospital and Maya Metro Hospital, Dhangadhi, Kailali, Nepal between July 2018 to December 2019. Total 534 cervical lymph node aspirations were performed during this period out of which 48 cases were cytologically proven as malignant lymph nodes. Clinical charts and cytology reports of patients with malignant lymph nodes were reviewed. Results Out of 534 cervical lymph node aspirations performed during the study period, the number of malignant lymph nodes was 48 (8.99%). Among malignant lymph nodes (n=48), primary hematolymphoid malignancy was 14 (29.17%) and metastatic cervical lymphadenopathy was 34 (70.83%). Metastatic squamous cell carcinoma was the most common etiology of metastatic cervical lymphadenopathy followed by nasopharyngeal carcinoma and papillary carcinoma of the thyroid. Conclusion Fine needle aspiration cytology has been proved to be a valuable tool in the initial evaluation of metastatic cervical lymphadenopathy in resource-limited settings. Metastatic squamous cell carcinoma is the most common diagnosis in metastatic cervical lymphadenopathy.