Cytomorphological Features of Tuberculous Lymphadenitis on FNAC.
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Date
2016-04
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Abstract
FNAC smears of 343 cases diagnosed as tuberculous lymphadenitis in the Postgraduate Department of
Pathology, Government Medical College, Jammu over a period of three years were reviewed. All the
available smears stained by May Grunwald Giemsa and Papani Colaou method including Ziehl Neelsen
stain for acid fast bacilli in some cases were evaluated. The disease was seen most frequently in the
second and third decades of life (58.9%) with slight female preponderance. Cervical region was the most
common site of involvement (83.4%). Three cytomorphological patterns were noted: epithelioid granuloma
with necrosis was the most frequent pattern (pattern 2) in 49.3 %, followed by necrotic material without
granuloma in 30.6% (pattern 3) and epithelioid cells without necrosis in 20.1% cases (pattern 1) . The
AFB positivity rates were 52.9 % and 78% in cytological patterns 2 and 3 respectively with no positivity in
pattern 1. Overall positivity for AFB was 64%.
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Keywords
Lymph Node, Lymphadenitis, Tuberculosis
Citation
Ruchi Khajuria, Kuldeep Singh. Cytomorphological Features of Tuberculous Lymphadenitis on FNAC. JK Science Journal of Medical Education and Research. 2016 Apr-Jun;18(2): 63-66.