Study of fine-needle aspiration cytology of lymph node in rural area of Bastar District, Chhattisgarh

Badge, Sachin A; Ovhal, Anjalee G; Meshram, Avinash

doi:10.4103/0975-2870.202097

Cited by 15 publications

(32 citation statements)

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“…In our study, the majority of the patients were in the age group of 21-40 years. This was correlated with the study by Budge SA et al and Chandanwale et al, where maximum numbers of cases were seen in the age group of 21-40 years [17,20]. Cervical lymph nodes were the most common group of lymph nodes involved was found in 168 cases (62.7%).…”

Section: Discussionsupporting

confidence: 89%

“…In the present study, an attempt has been made to study the cytomorphological spectrum and epidemiological pattern of lymph node lesions. Adequate material was obtained in all 100% cases which correlated with the study by Hemalatha et al (98%) and Gupta et al (85.2%) and Budge SA et al (98.4%) [15,16,17]. In the present study, aspirates were benign in 87.3% cases; metastatic deposits were foundin 10.4% and lymphomas in 2.3%.…”

Section: Discussionsupporting

confidence: 88%

“…Cervical lymph nodes were the most common group of lymph nodes involved was found in 168 cases (62.7%). [14,17,20,21]. Tuberculous lymphadenitis was the most common lesion and was reported in 146 cases (54.5%) out of total 268 cases.…”

Section: Discussionmentioning

confidence: 99%

“…(52.3%) [17,21]. India is the country with the highest burden of TB that mainly involves the lungs followed by cervical lymph nodes.…”

Section: Original Research Articlementioning

confidence: 99%

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Study of fine needle aspiration cytology of lymphadenopathy in tertiary care centre of Ahmedabad, Gujarat

Sharma¹,

Dharaiya

2018

Trop J Pathol Microbiol

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Introduction: Lymph nodes are a site for organized collections of lympho-reticular tissue and are pink gray bean shaped encapsulated organs. Lymphadenopathy is one of the most common clinical presentations of patients attending the outpatient department. Lymph nodes are among the commonly aspirated organs for diagnostic purposes. Fine-needle aspiration cytology (FNAC) is a clinical technique used to obtain cells, tissues and/or fluid through a thin needle attached with disposable syringe for the purpose of diagnosis of masses. Aims and Objectives: The aims of this study is to find out the frequency of lymphadenopathy, etiological factors and cyto-morphologial features in different age groups and incidence of various lymph node diseases on fine-needle aspiration cytology (FNAC) and to analyze the utility and diagnostic importance of FNAC in lymph node diseases. Materials and Methods: The present study was carried out in Department of Pathology at GMERS Medical College, Sola-Ahmedabad, Gujarat a Tertiary Care Centre. A total of 268 patients of all age groups underwent FNAC of enlarged lymph nodes during this study period. Results: Tuberculous lymphadenitis was recorded as the most common presentation of lymphadenopathy in the cervical region. Male to female ratio is 1:1.13. Most common causes of lymphadenopathy in 11-40 years age group was tubercular lymphadenitis and metastatic carcinoma in patients >50 years of age. Conclusion: FNAC of lymph nodes is an excellent first line investigation to determine the nature of lesion. It is quick, safe, minimally invasive, and reliable and is readily accepted by the patient.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

“…(52.3%) [17,21]. India is the country with the highest burden of TB that mainly involves the lungs followed by cervical lymph nodes.…”

Section: Original Research Articlementioning

confidence: 99%

See 2 more Smart Citations

Study of fine needle aspiration cytology of lymphadenopathy in tertiary care centre of Ahmedabad, Gujarat

Sharma¹,

Dharaiya

2018

Trop J Pathol Microbiol

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“…12,13 Another study from India shows the incidence of tuberculosis about 70% and the reactive hyperplasia to be 13%. 4,14,15 These local and international results favour the tuberculous adenitis as the most frequent cause of peripheral gland enlargement and the paucity of evidence in favour of reactive hyperplasia as the commonest diagnosis makes us consider the reason for this change or plan a further study to support our findings. Ourresults show that we were only able to help the patients and their clinicians in case of patients in 40 percent of the cases and the procedure did not have an outcomefor majority of the patients.…”

Section: Discussionsupporting

confidence: 54%

Peripheral Lymph Glands; Are We Justified in Taking These Out for Histopathology in Our Patients?

Farooq

Qamar

Anjum

et al. 2017

TPMJ

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ABSTRACT... Background: Enlarged lymph glands almost always represent a local or systemic disease that may be benign or malignant. We see many patients including the referred ones in our OPD clinic and subsequently do the excision of quite a big proportion of the enlarged glands especially the cervical glands. Study Design: Descriptive study. Setting: Retrospect by reviewing the operative and histopathology department of King Edward Medical University. Period: April 2016 to April 2017. Methods: We will analyse the record of 121 patients who had peripheral lymph gland enlargement and presented to us. Results: Ours results show that the mean age of our patients was 25.03±18.06 years. We found that 40% of our patients had a definitive diagnosis from the histopathology of excised lymph nodes while 35.5% of the patients had reactive hyperplasia and 25% of the patients had inconclusive results and we were unable to help them. Conclusion: Our results conclude that the lymph nodes are a very good source of getting the diagnosis especially the cervical lymph nodes with a diagnostic yield of 76.4% and we may need to have a more robust criteria for excising the peripheral lymph glands in order to improve the diagnostic yield from 40%. Key words:Lymph Node, Cervical, Axillary, Inguinal, Diagnostic Yield. Article Citation: Farooq MS, Qamar S, Anjum MR, Altaf R, Farooq MA. Peripheral lymph glands; Are we justified in taking these out for histopathology in our patients? Professional Med J 2017;24(10)

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Limitations in Cytodiagnosis- An Institutional Study

Uma¹,

Rajani²

2018

jemds

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BACKGROUND Fine needle aspiration cytology has replaced open biopsy in majority of the palpable lesions. Differentiation between benign and malignant lesions is possible with this procedure with low cost, but has certain limitations. In the present study, the limitations of cytodiagnosis in various palpable lesions in the body is analysed.The aim of the study was to know the prevalence of various lesions which could be diagnosed on cytology, its limitations and need for histopathological examination. MATERIALS AND METHODSA prospective observational study was conducted in the Department of Pathology at tertiary care centre in rural area. 1200 cases attending for fine needle aspiration for a period of 2 years from January 2014 to December 2015 was taken up for the study. After obtaining informed consent from the patients, fine needle aspiration was performed using a 22 -24 gauge needle with 10 mL syringe and long lumbar puncture needle for guided aspirations. Smears were fixed in 95% isopropyl alcohol and stained with Haematoxylin and Eosin. Air dried smears were stained with May-Grunwald stain and special stains were done wherever necessary. The tissue was subjected for histopathological examination wherever indicated and results tabulated. Overall diagnostic accuracy, sensitivity and specificity of cytology as a diagnostic procedure was calculated. RESULTSThe overall accuracy of diagnosing granulomatous lymphadenitis and lymphoproliferative disorders on cytology was 65.71%. The overall accuracy of diagnosing fibrocystic disease of breast proliferative type was 80% and ductal carcinoma of breast was 100% on cytology. The overall accuracy of diagnosing follicular adenoma of thyroid was 36.20% and malignancy was 100% on cytology. The overall accuracy of diagnosing both benign and malignant lesions of salivary gland was 100% on cytology. The overall accuracy of diagnosing soft tissue tumours was 88.67% on cytology. In lesions of bone, skin and ultrasonographic-guided lesions of abdomen, the overall accuracy was 100%. On Pap smears, the overall accuracy was 84.48%. CONCLUSIONIn cases of granulomatous lymphadenitis without significant necrosis and negative AFB, fibrocystic disease of breast, follicular adenoma of thyroid, vascular tumours, soft tissue tumours with nuclear atypia and cases of atypical squamous cell of undetermined significance and high-grade intraepithelial lesions on Pap smears need histopathological examination for accurate diagnosis.

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Study of fine-needle aspiration cytology of lymph node in rural area of Bastar District, Chhattisgarh

Cited by 15 publications

References 1 publication

Study of fine needle aspiration cytology of lymphadenopathy in tertiary care centre of Ahmedabad, Gujarat

Study of fine needle aspiration cytology of lymphadenopathy in tertiary care centre of Ahmedabad, Gujarat

Peripheral Lymph Glands; Are We Justified in Taking These Out for Histopathology in Our Patients?

Limitations in Cytodiagnosis- An Institutional Study

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