Fine needle aspiration cytology in pediatric age group with special reference to pediatric tumors: A retrospective study evaluating its diagnostic role and efficacy

Shetty, Prathima; Suresh, T. M.; Ml, Harendra Kumar; Krishnappa, J

doi:10.4103/2141-9248.126608

Cited by 16 publications

(28 citation statements)

References 10 publications

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“…4 Fortunately benign masses are more frequently encountered which are reaction to the upper airway infection. [5][6][7] Problems related to precise diagnosis and proper management of a child with head and neck mass is challenging for both the surgeon and the pathologist. Lesions found in these regions can be indicative of more extensive disorder such as haemopoitic malignancy or can be a manifestations of a locally invasive and destructive process.…”

Section: Introductionmentioning

confidence: 99%

Clinicopathological study of pediatric neck masses

Gangwar

Vyas

Gakkar

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Pediatric neck masses are a reason for anxiety for both patients and doctor as there can be chances of malignancy. There are few established guidelines for evaluation. The etiology is varied so a thorough knowledge of clinical presentation is essential. Methods: A clinicopathological analysis of 150 cases of neck masses in children upto 12 years of age attending the outpatient clinic between Jan 2015 to June 2016 were included. Results: Maximum cases of reactive lymphadenopathy were found in our study 81 (20.7%), 23 (14.7%) thyroglossal cyst, 22 (14.7%) suppurative lymphadenopathy, mycobacterial lymphadenitis 20 (13.3%), dermoid cyst 17 (11.3%), branchial cyst 15 (10%), tubercular abscess 10 (6.7%), 3 cases (2%) each of Hodgkins lymphoma, lipoma, non-Hodgkins lymphoma were seen. FNAC was conclusive in 140 cases (93.4%). Conclusions: Percentage wise inflammatory etiology was the commonest (55.4%) followed by congenital (38.6%) and last was neoplastic (6 %). An orderly and sequential approach is needed to manage pediatric masses.

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Section: Introductionmentioning

confidence: 99%

Clinicopathological study of pediatric neck masses

Gangwar

Vyas

Gakkar

2018

Int J Otorhinolaryngol Head Neck Surg

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“…16 Prathima et al, 13 showed concordant results in 81.6% cases with cyto-histopathological correlation in 9.4% cases.…”

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confidence: 85%

“…13 study showed cervical lymph node as the commonest site for FNAC accounting for 48.3%. Reactive lymphadenitis followed by acute suppurative lesion was the most common lesions among nonneoplastic lesions, accounting for 38.8% and 16.22% respectively.…”

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confidence: 98%

Fine needle aspiration cytology: A diagostic tool in evaluation of lymphadenopathy in paediatric age

2020

IJPO

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Introduction: Lymphadenopathy is one of the commonest clinical presentations in children and a common scenario for pediatrician. Unexplained lymphadenopathy often poses a great deal of anxiety and concern in parents. Fine needle aspiration cytology (FNAC) is a minimally invasive, cost effective and a well established technique as a high diagnostic efficacy tool. FNAC especially in benign inflammatory condition has aided in clinical practice by avoiding unnecessary excision biopsies also limiting its complications and psychological trauma to patient. The present study was conducted to evaluate FNAC as a diagnostic tool in pediatric lymphadenopathy and study spectrum of various cytomorphological patterns in paediatric age group. Materials and Methods: The present study was undertaken in the Department of Pathology, in a tertiary care hospital in Maharashtra. Reports of 312 pediatric FNAC (<16years) of various lymph nodes were studied from July 2014 to November 2017 retrospectively. Results: Maximum number of aspirates were found in 12-16 years (38.78%) i.e older age group and were of benign nature i.e. 96.80% with remaining (3.20%) malignant in nature. Anterior cervical lymph nodes predominate over other lymph nodes (41.02%) followed by posterior cervical lymph nodes (31.40%) when FNAC anatomical site subdivision was done. Maximum number of aspirates were found to be reactive lymphadenitis (61.53%) followed by tuberculous lymphadenitis (8.65 %). Conclusion: To conclude fine needle aspiration cytology has emerged as a reliable initial screening tool in all the lymphadenopathy cases in pediatric age group due to its cost-effectiveness and high diagnostic accuracy. A spectrum of different lesions can be evaluated by using FNAC. Pediatrician plays a very important role by taking initiative in referring all the pediatric patients for FNAC, in a resource limited settings like India.

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“…This has also been found to have contributed into its increasing popularity and utilization in preoperative diagnosis. However, there are few reports on head and neck FNAC in the published studies in Nigeria [3,8,9]. This study aims to highlight the relevance of FNAC and to draw attention to its prospects and challenges in the management of head and neck masses.…”

Section: Introductionmentioning

confidence: 99%

Fine Needle Aspiration and Cytology in the Management of Head and Neck Masses in Osogbo, South Western Nigeria

Je¹

2018

OOAJ

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Background: FNAC is a well-established technique for pre-operative evaluation of masses. This study aims to highlight the relevance of FNAC and to draw attention to its prospects and challenges in the management of head and neck masses. Methods:A retrospective descriptive study conducted between December 2005 and November 2013 at the ENT and pathology departments of LAUTECH Teaching Hospital, Osogbo, Nigeria. Results:Total of 294 patients consisting of 113 males and 181 female with male: female ratio 1:1.6. Their ages ranged from 1-93 years (mean± SD of 38.25 ± 1.98) years. Age group 21 -40 years constituted the largest proportion 34.4%.Cervical mass constituted the largest proportion of 37.4% followed by thyroid mass 23.5%. Majority 35.2% were inflammatory/non specific lymphadenopathy followed by malignant masses 27.4%. Among the males, 67% were benign and 23.3% were malignant while among the females, 54% were benign and 39.2% were malignant. There were preponderance of inflammatory/benign masses among the younger age groups while malignant masses were spread among the young adults, middle age and older age groups (X2 = 28.535, p = 0.001). There is also no statistical significance in the distribution of head and neck masses between the two genders (X2 = 3.226, p = 0.353). Conclusion:FNAC is very relevant in the management of H&N masses; the prospects for its use are equally high in our center. The challenges associated with the use of FNAC in our environment at this time were also addressed.

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Fine needle aspiration cytology in pediatric age group with special reference to pediatric tumors: A retrospective study evaluating its diagnostic role and efficacy

Cited by 16 publications

References 10 publications

Clinicopathological study of pediatric neck masses

Clinicopathological study of pediatric neck masses

Fine needle aspiration cytology: A diagostic tool in evaluation of lymphadenopathy in paediatric age

Fine Needle Aspiration and Cytology in the Management of Head and Neck Masses in Osogbo, South Western Nigeria

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