FNAC - A Diagnostic Tool in Cervical Node Enlargement in a Tertiary Care Hospital

  • Ajay Chauhan Assistant Professor, Department of General Surgery, Geetanjali Medical College and Hospital, Udaipur.
  • Nilesh Mehta Assistant Professor, Department of General Surgery, Geetanjali Medical College and Hospital, Udaipur.
Keywords: Cervical lymphadenopathy, FNAC, Histopathological examination

Abstract

Background: Cervical lymphadenopathy is relatively common clinical observation. Cervical lymphadenopathy is a diagnostic dilemma to the surgeon. The various avenues available for the analysis of cervical node enlargement are clinical evaluation, aspiration cytology, and open biopsy. Aim: To study the role of the FNAC in diagnosis of cervical node enlargement after correlating with a lymph node biopsy.  Methods: This prospective observational study was conducted in Department of Surgery, Geetanjali Medical College and Hospital, Udaipur. All the patients aged more than 15 years presented with neck swelling were enrolled. Detailed history will be taken followed by physical examination in all the patient with cervical lymphadenopathy. Results: Majority of the cases in this study had non-neoplastic causes for cervical lymphadenopathy in which tuberculosis is most common. Male to female ratio of 1.3:1. Maximum incidence was found to be tuberculosis. Maximum number of cases was in the age group of 21 to 30 years. The diagnostic accuracy of FNAC for tuberculous lymphadenopathy is 91.66%. The diagnostic accuracy of FNAC for nonspecific lymphadenitis was 87.50%. For secondary’s neck and lymphoma were 100%, 100% respectively.  Conclusions: FNAC is a simple and safe procedure, which can be employed on outpatient basis. FNAC is found to be a frontline investigation of choice with biopsy and histopathological examination done for confirmation.

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References

1. King D, Ramachandra J, Yeomanson D. Lymphadenopathy in children: refer or reassure? Archives of disease in childhood. Education & practice edition. 2014;99(3):101-110.
2. Orell SR, Sterret GF, Whitaker D, Heerde PV, Miliaukas J, and Field A. Lymph Node Chapter 5. In Orell SR, Sterret GF, Whitaker D (eds): Fine Needle Aspiration Cytology, 4th edition, New Delhi, Elsevier. 2005; 83-124.
3. Kim J. Differential Diagnosis of Lymphadenopathy. Journal of the Korean Medical Association. 2000;43(10):1001.
4. Steel BL, Schwartz MR, Ramzy I. Fine needle aspiration biopsy in the diagnosis of lymphadenopathy in 1,103 patients: role, limitations, an analysis of diagnostic pitfalls. Acta Cytol .1995;39(1):76-81.
5. Skandalakis JE, Gray SW, Embryology for Surgeons. 2nd ed. Baltimore Williams & Wilkins, 1994.
6. Russell RCG, Williams NS, Bulstrode CJK. Bailey & Love's Short Practice of Surgery. 23rd ed. London: Arnold; 2000. P. 704.
7. Norman Williams, Christopher JK Bulstrode. Inflammatory Conditions of the Neck. 25th ed. Chapter 45. In: Bailey & Love Short Practice of Surgery;2005. pp.731-2.
8. Henry K Symmers. Lymph Nodes, Systemic Pathology. 3rd ed. Philadelphia: Churchill Livingstone; 1992. Pp. 141-325.
9. Das S. Examination of Lymphatic System, Clinical Surgery. 8th ed. 2010. Th pp.117-8.
10. Parveen Kumar, Michael Clark. Hematological Malignancies. 5th ed. In: Kumar and Clark Clinical Medicine. Edinburgh: WB Saunders; 2002. pp.496-500.
11. Guo B, Liu W, Shao B. Radical neck dissection in treating cervical Lymphnodetuberculosis. ZhonghuaJie He He Hu xi ZaZhi 1998 Jun;21(6): 352-4.
12. Haque MA, Talukdar SE, Evaluation of fine needle aspiration cytology (FNAC) of lymph node in mymensingh. Mymensingh Med J 2003 Jan; 12(1):33-5.
13. Leong Anthony SY, Craig James, Cytological Specimen. 1st ed. In: Handbook of Surgical Pathology. 1996. pp. 205-9
14. Shaha A, Webber C, Marti J Fine Needle Aspiration in the diagnosis of cervical lymphadenopathy. Am J Surg 1986 Oct; 152(4):420 3.
Published
2018-03-20
How to Cite
1.
Chauhan A, Mehta N. FNAC - A Diagnostic Tool in Cervical Node Enlargement in a Tertiary Care Hospital. IABCR [Internet]. 20Mar.2018 [cited 21Sep.2018];4(1):2-. Available from: https://iabcr.org/index.php/iabcr/article/view/251