Scenario of Fine Needle Aspiration Cytology of Neck Masses in a Tertiary Care Hospital

Rahman, Atiqur; Biswas, Mamun Ali; Sikder, Abdul Mannan

doi:10.3329/jemc.v1i1.11131

Cited by 11 publications

(7 citation statements)

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“…In the present study the most common cytologically diagnosed malignancy metastatising to neck nodes was squamous cell carcinoma. This is similar to the results obtained by other authors [1,9,10]…”

Section: Discussionsupporting

confidence: 93%

Efficacy of aspiration cytology in suspected metastatic neck lymph nodes

Prasad¹,

Mohan²

2014

Int J Med Sci Public Health

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Background: Fine needle aspiration of neck nodes is quick, safe and convenient method for the diagnosis of various lesions. The procedure is well tolerated by the patients, has minimal complications and repeatable. Because of its minimally invasive characteristic, this technique is now being used routinely for quick and accurate diagnosis. Enlarged lymph nodes are one of the most frequently sampled tissues. The diagnostic accuracy of FNAC in neck node malignancy is high. Aims & Objective: To study efficacy of aspiration cytology in suspected metastatic neck lymph nodes. Material and Methods: A prospective hospital based study was conducted among patients attending cytology lab in Department of Pathology, of a tertiary care centre in this region over a period of three years. All new patients having clinically suspected neck lymph nodes were included in the study. All previously treated patients and those with recurrence were excluded from the study. Cervical lymph nodes were aspirated, and smears were prepared & processed following standard techniques. Findings were correlated with previous studies. A total number of 225 cases were examined. Results: A total of 225 cases of lymph node aspirates were examined. Out of these, 190 cytologically diagnosed cases, as metastatic cervical lymph nodes were further evaluated. Most number of cases was seen in males, in the age group of 45-76 years. Higher number of patients had known primary sites, seen in oral cavity. Confirmatory cytological diagnosis could be made in maximum number of cases. Conclusion: Fine needle aspiration cytology is a safe, rapid and highly accurate method for diagnosis of superficially palpable lymph nodes. It is now considered as a routine OPD procedure, and most convenient method for confirmation of suspected metastatic nodes.

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Section: Discussionsupporting

confidence: 93%

Efficacy of aspiration cytology in suspected metastatic neck lymph nodes

Prasad¹,

Mohan²

2014

Int J Med Sci Public Health

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“…Similar results of male preponderance were also reported by Gunvanti et al, 8 Baji et al, 9 Gemechu et al, 10 Vidyadhara et al 11 Of the total 50 patients studied, maximum number of patients were from the age group of second and third decade, followed by patients from age group of fourth and fifth decade. This was in concordance with the study of Rahman et al 12 where age of the patients ranged from 10 months to 85 years and most of the patients presented in third decade followed by second and fourth decades of life. The peak incidence of lymph node swellings in this study group was between 21 to 30 years, which is similar to the findings of Shaan et al, 13 Setal et al, 14 Wahid et al 15 and Gunvanti et al 8 Head and neck lesions can occur in any age group, though its incidence tends to be common in younger age group because of relatively high occurrence of infective conditions like tuberculosis and reactive lymphadenitis in our country.…”

Section: Discussionsupporting

confidence: 93%

Cytomorphological study of head and neck lymph node lesions

Keerthana¹,

Begum²,

Siddiqui³

2020

JDPO

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The head and neck area is a complex anatomical structure which includes various nonneoplastic and neoplastic lesions of lymph node, salivary gland, thyroid gland and soft tissue. Fine needle aspiration cytology of head and neck lymph nodes proved useful in separating inflammatory lesions, which do not require surgical excision from cystic and neoplastic lesions with good certainty. Fine needle aspiration cytology (FNAC) is a simple, feasible, cost effective and minimally invasive procedure. But histopathological examination is more valuable for confirmatory diagnosis in suspected lesions. Aim: To assess the utility of FNAC in diagnosis of head and neck lymph node lesions and to establish the diagnostic accuracy of cytology by comparing with the histopathological diagnosis, wherever possible. Materials and Methods: A 6 months retrospective study was done from March 2020 to August 2020 at Khaja Bandanawaz institute of medical sciences on 50 patients presenting with head and neck lymph node enlargement. Result: 50 cases were evaluated by FNAC. In this study out of 34 benign cases, 14 cases were of Reactive lymphadenitis, 17 cases of Granulomatous/Tuberculous lymphadenitis and 3 cases were of Acute suppurative lymphadenitis. Out of 16 malignant cases, 5 cases were of Non Hodgkins lymphoma, 2 cases were of hodgkins lymphoma and 9 cases were of metastatic carcinoma. Conclusion: FNAC has been found to be a satisfactory tool in the diagnosis of tubercular and malignant lymphadenopathy in our study. The lucidity and rapidity of the procedure makes it most appropriate for use on outpatient basis even in peripheral hospitals and dispensaries.

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“…MM Carr et al proposed that 60-70% of patients who had lymph node enlargement secondary to sore throat also had fever. (16) In our study, all the benign, tuberculous and thyroid lesions were associated with hoarseness of voice. Which is consistent to the findings of many other studies.…”

Section: Discussionsupporting

confidence: 50%

Clinico – pathological assessment of Neck lesions in a tertiary care teaching center of Patna District, Bihar

Kumar

Rahman

Anand

et al. 2022

ijhs

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Introduction: Neck swelling is a common presentation seen in clinical practice. A wide spectrum of pathological lesions can be presented in this form. It ranges from simple benign lesions to highly malignant ones. An attempt was made to correlate clinical presentation, sociodemographic factors and histopathological diagnosis of such masses. Aims and objectives: To know the incidence of various types of masses of the Neck region & to understand the sociodemographic pattern in different neck masses. Methodology: This was a cross-sectional study and was carried out in the ENT department of tertiary care teaching hospital at Patna. Each patient attending the OPD ENT with complaints of neck swelling underwent a complete examination that included a Otorhinolaryngological evaluation in addition to a full history, socio-demographic details and physical examination. Results: A total of 105 patients were enrolled in the study out of which 60% were females and 40 % were males. Among total cases maximum (31.4%) were cancerous, 25.7% were thyroid lesions, 22.8% were benign and 20% were tuberculous. Young age, female gender and middle socioeconomic class was found to be associated with all the neck masses.

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Scenario of Fine Needle Aspiration Cytology of Neck Masses in a Tertiary Care Hospital

Cited by 11 publications

References 0 publications

Efficacy of aspiration cytology in suspected metastatic neck lymph nodes

Efficacy of aspiration cytology in suspected metastatic neck lymph nodes

Cytomorphological study of head and neck lymph node lesions

Clinico – pathological assessment of Neck lesions in a tertiary care teaching center of Patna District, Bihar

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