DOI: http://dx.doi.org/10.18203/2349-3933.ijam20171053

Evaluation of fine needle aspiration cytology among lymphadenopathy patients in Ambedkarnagar, Uttar Pradesh, India

Arshad Ikram, Syed Esam Mahmood

Abstract


Background: Surgical fine needle aspiration cytology is most popular diagnostic aid in patients with lymphadenopathy.

Methods: This one year observational study comprised of aspirate collected from lymph nodes of patients attending Mahamaya Rajkiya Allopathic Medical College and Hospital, Ambedkarnagar, Uttar Pradesh, India. Fine needle aspiration was performed in all the patients and slides were stained with H and E, PAP and Ziehl Neelsen stains. SPSS was used for data analysis. Fischer’s Exact test was applied.

Results: Out of the 51 patients, the most common site of lymph node aspirated was cervical (72.5%). A higher proportion of cases were diagnosed as chronic nonspecific lymphadenitis (23.5%) followed by granulomatous abscess (23.5%), tubercular lymph node (21.6%) and reactive (17.6%).  A significant association found between FNAC diagnosis and age was found (p≤ 0.05).

Conclusions: FNAC is a simple and useful procedure in patients with lymphadenopathy.


Keywords


FNAC, Lymphadenopathy, North India

Full Text:

PDF

References


Cytology completes a project by Directorate General of Health Services. Ministry of Health and Family Welfare Government of India. 2005.

Chawla N, Nandini NM. FNAC in lymph node disorders a hospital study in Southern India. J Cytol. 2007;24(2):105-7.

Steel BL, Schwartz MR, Ramzy I. FNA biopsy in diagnosis of lymphadenopathy in 1103 patients. Acta Cytol. 1995;39:76-81.

Vimal S, Dharwadkar A, Chandanwale SS, Vishwanathan V, Kumar H. Cytomorphological study of lymph node lesions: a study of 187 cases. Med JDY Patil Univ. 2016;9:43-50.

Bharadwaj K, Bharadwaj BI, Goyal T. FNAC in lymph node disorders with special reference to tuberculosis. J Cytol. 2000;17:155-9.

Chawla N, Nandini NM. FNAC in lymph node disorders a hospital study in Southern India. J Cytol. 2007;24(2):105-7.

Kataria P, Sachdeva M, Singh NK. FNAC as a diagnostic tool for the diagnosis of cervical lymphadenopathy bull environ pharmacol. Life Sci. 2012;1(8):72-5.

Bargotra R. A cytological (FNAC) study of cervical lymph nodes in tertiary care centre. JK Science. 2015;17:13-5.

Chawla N, Kishore S, Kudesia S. FNAC of lymph node disorders. Indian Medical Gazette. 2012;6:312-5.

Hafez NH, Tahoun NS. Reliability of fine needle aspiration cytology (FNAC) as a diagnostic tool in cases of cervical lymphadenopathy. J Egyptian National Cancer Institute. 2011;23:105-14.

Hirachand S, Lakhey M, Akhter J, Thapa B. Evaluation of fine needle aspiration cytology of lymph nodes in Kathmandu Medical College, teaching hospital. Kathmandu Univ Med J. 2009;7(26):139-42.

Ahmad SS, Akhtar S, Akhtar K, Naseen S, Mansoor T. Study of fine needle aspiration cytology in lymphadenopathy with special reference to acid fast staining in cases of tuberculosis. JK Sci. 2005;7(1):1-4.

Rakhshan M, Rakhshan A. The diagnostic accuracy of fine needle aspiration cytology in neck lymphoid masses. Iranian J Pathol. 2009;4(4):147-50.