Role of Fine needle aspiration cytology in the diagnosis of Cervical lymphadenopathy.
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Date
2012-01
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Abstract
Objective: A study was carried out to know the overall prevalence of various causes responsible for cervical
lymphadenopathy of more than 3 weeks duration. FNAC has been evaluated as a diagnostic tool in
our clinical set up. We aimed to present 120 cases which we treated in our center within last 4 years.
Methods: A retrospective study has been carried out from August 2007 to August 2011 in the department
of Otolaryngology and Head-Neck Surgery at CMH Rangpur, Apollo Hospitals Dhaka And Ibn Sina
Medical College Hospital Dhaka. All patients presented with cervical lymphadenopathy of more than 3
weeks duration. FNAC has been done for all suspected cases. CT neck has been done in 4 cases for deep
jugular nodes. 60 patients underwent lymph node biopsy as FNAC report was non-specific lymphadenitis.
For three cases we have done frozen section biopsy. Preoperative workup with routine blood tests, Xray
chest and tuberculin tests have been carried out for all cases. Results: Out of 120 FNAC of cervical lymphadenopathy
- 60 were non-specific lymphadenitis, 34 were tuberculosis, 13 were metastatic (with 2 occult
primary), 7 were lymphomas (Immunocytochemistry proved ) and 6 were abscess. All 60 non-specific lymphadenopathy
cases (FNAC report) underwent lymph node biopsy.5 cases were consistent with tuberculosis
, 1 was lymphoma and rest were reactive . For 3 cases frozen section biopsy have been done. One was
consistent with granulomatous disease and two cases were diagnosed as lymphoid hyperplasia. Both the
lymphoid hyperplasia cases have been diagnosed as Castleman's disease after histopathology
report.Conclusion: The study concluded the fact that the non-specific infection is the most common cause
of cervical lymphadenopathy followed by tuberculosis .Supplemented with routine laboratory investigations,
FNAC give very important clue to the physicians that can be routinely used in patients with cervical
lymphadenopathy.
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Keywords
Lymphadenopathy, tuberculosis, lymphoid hyperplasia, lymphoma
Citation
Kafi A H, Arif H B, Ruhul A S. Role of Fine needle aspiration cytology in the diagnosis of Cervical lymphadenopathy. Bangladesh Journal of Medical Science. 2012; 11(1): 25-27.