DOI: http://dx.doi.org/10.18203/2349-3933.ijam20164703

Spectrum of pathologies on FNAC evaluation of peripheral lymph nodes at a tertiary care center in hyderabad: a retrospective study

Ramanan Duraiswami, Sujatha Margam, Priya Chandran, Akina Prakash

Abstract


Background: The aim of the study was to study the pattern of pathologies identified on FNA of superficial lymph nodes in a tertiary hospital in Hyderabad during the period January 2014 to August 2016, as well as to identify the profile of patients undergoing the procedure at our Hospital.

Methods: The data pertaining to the details of the patients who underwent FNA evaluation of superficial lymph nodes from the period January 2014 to 31 August 2016 at a tertiary hospital located in Hyderabad, Telangana, was analysed to determine the age and sex distribution of the patients and the distribution of pathologies diagnosed on FNA evaluation of the lymph nodes.

Results: The female gender was predominant (61%; 156 out of 253 patients) among the patients who underwent FNA evaluation of lymph nodes. A majority of the patients were in the age group of 20 to 50 years. Reactive lymph node hyperplasia was the predominant diagnosis in our series (49.8 %; 126 cases out of 253 FNA evaluations). Granulomatous lymphadenitis was the second most common diagnosis (37.15%; 94 out of 253 FNA evaluations).

Conclusions: Fine Needle Aspiration evaluation is a quick, easy, relatively non - traumatic, and, in expert hands, a reliable method of diagnosing the pathology underlying enlarged superficial lymph nodes. Reactive lymph node hyperplasia and granulomatous lymphadenitis were the two most common causes of lymph node enlargement in our series.


Keywords


FNAC, Granulomatous lymphadenitis, Incidence of pathologies, Reactive hyperplasia

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References


Malaker D, Jajoo ILN, Swarup K, Gupta OP, Jain AP, Poflee VW. A clinical evaluation of fine Needle aspiration cytology in the diagnosis of lymphadenopathy. Ind J Tub. 1991:17-9.

Shah PC, Patel CB, Bhagat V, Modi H. Evaluation of peripheral lymphadenopathy by fine needle aspiration cytology; a one year study at a tertiary centre. Int J Res Med Sci. 2016;4(1):120-5.

Wilkinson AR, Mahore SD, Maimoon SA. FNAC in the diagnosis of lymph node malignancies. A simple and sensitive tool. Indian J Med Pediatr Oncol. 2012;33(1):21-4.

Kumar N, Gupta BB, Sharma B, Kaushal M, Rewari BB, Sundriyal D. Role of fine needle aspiration cytology in human immunodeficiency virus - associated lymphadenopathy: a cross - sectional study from Northern India. Hong Kong Med J. 2015;21(1):39-44.

Arif SH, Hassan MJ, Jain M, Verma AK, Naim M. Role of imprint cytology in diagnosis of lymph node lesions. Indian Medical Gazette. 2011:385-90.

Stewart CJR, Duncan JA, Farquharson M, Richmond J. Fine needle aspiration diagnosis of malignant lymphomas and reactive lymphoid hyperplasia. J Clin Pathol. 1998;51:197-203.

Shrivastav A, Shah HA, Agarwal NM, Santwani PM, Srivastava G. Evaluation of peripheral lymphadenopathy by fine needle aspiration cytology. A three year study at tertiary center. Journal of Dr NTR University of Health Sciences. 2014;3(2):86-91.

Mohanty R, Wilkinson A. Utility of fine needle aspiration cytology of lymph nodes. IOSR J Dent Med Sci. 2013;8(5):13-8.

Pandey P, Dixit A, Mahajan NC. The diagnostic value of FNAC in assessment of superficial palpable lymph nodes: a study of 395 cases. Al Ameen J Med Sci. 2013;6(4):320-7.

Kumar H, Chandanwale SS, Gore CR, Buch AC, Satav VH, Pagaro PM. Role of fine needle aspiration cytology in assessment of cervical lymphadenopathy. Med J Dr DY Patil University. 2013;6(4):400-4.

Shilpa G, Nataraju G. Pattern of lymph node diseases in a tertiary level referral center: a cytological study of 943 cases. Inter Biol Med Res. 2013;4(3):3448-52.

Wahid FI, Rehman H, Khan Q. Diagnostic value of fine needle aspiration cytology in diagnosis of non - thyroidal neck mass. JPMI. 2010;224(4):289-94.

Mamatha K, Arakaru SU. Clinicocytological study in evaluating the primary site of tumor in patients presenting with metastatic tumors in lymph nodes. Asian J Pharma Health Sci. 2014;4(2):1001-5.

Mohan A, Thakral R, Kaur S, Singh S. Fine needle aspiration in metastatic lymphadenopathy - a five year experience in Muzzafarnagar region. J Adv Res Biol Sci. 2013;5(2):172-6.

Kumar N, Gupta BB, Sharma B, Kaushal M, Rewari BB, Sundriyal D. Role of fine needle cytology in human immune - deficiency virus - associated lymphadenopathy: a cross sectional study from northern India. Hong Kong Med J. 2015; 21(1): 39-44.

Patel MM, Italiya SL, Patel RD, Dudhat RB, Kaptan KR, Baldwa VM. Role of fine needle aspiration cytology to analyze various causes of lymphadenopathy. Natl J Community Med. 2013;4(3):489-92.

Hemalatha A, Udhay Kumar M, Harendar Kumar ML. Fine needle cytology of lymph node: a mirror in the diagnosis of lymph node lesions. J Clin Biomed Sci. 2011;1(4):164-72.

Ghartimagar D, Ghosh A, Ranabhat S, Shrestha MK, Narasimhan R, Talwar OP. Utility of fine needle aspiration cytology in metastatic lymph nodes. J Pathol Nepal. 2011;1:92-5.

Dowerah S, Kouli R, Karmakar T. A study of FNA findings of malignancy in lymph nodes with special emphasis on metastatic malignancy. Inter J Bas Med Scie. 2014;5(4);68-71.