International Journal of Contemporary Pathology
  • Year: 2019
  • Volume: 5
  • Issue: 1

Spectrum of Cytomorphological Finding in Patients with Lymphadenopathy-Experience in a Tertiary Care Hospital

1Post-graduate Resident, Department of Pathology, B.J. Medical College and Civil Hospital, Asarwa, Ahmedabad, Gujarat, India

2Assistant Professor, Department of Pathology, B.J. Medical College and Civil Hospital, Asarwa, Ahmedabad, Gujarat, India

3Professor & Head, Department of Pathology, B.J. Medical College and Civil Hospital, Asarwa, Ahmedabad, Gujarat, India

*Corresponding author: Dr. Urvi Parikh, Assistant Professor, Department of Pathology, BJMC, Ahmedabad

Online published on 6 April, 2019.

Abstract

Cytological examination of FNA smears taken fromlymphnode can determine whether lymphadenopathy is due to reactive hyperplasia, infection, metastasis or lymphoma.

(1)To study the role and limitation of FNAC in evaluation of lymphadenopathy.

(2) To assess the distribution of various cytomorphological patterns of lymphadenopathy.

(3)To assess the age and gender specific distribution of various cytomorphological patterns of lymphadenopathy.

A total of 474 patients referred to department of Pathology, B.J. Medical College and Civil Hospital, Ahmedabadfor FNAC of palpable lymph node during the period of 6 months i.e. Jan. 2017 to June 2017 were included in present cross sectional study. Thirty two patients whose aspiration yielded inadequate material were excluded from the study.

Cytological reporting was done according to the standard guidelines. Tuberculous lymphadenitis was the most common diagnostic finding(48.2%) followed by lymphadenitis (26.5%), metastatic carcinoma (15%), abscess formation(8.5%), lymphoma(1.8%).

FNAC is a safe, simple, quick, reliable, minimal invasive, inexpensive and a routine OPD procedure establishing the cause of lymphadenopathy and useful to avoid unnecessary surgical procedures like biopsy.

Keywords

Lymphadenopathy, Fine Needle Aspiration Cytology