Fine Needle Aspiration Cytology of Palpable Cervical Swellings: A One-Year Cross-Sectional Study at a Tertiary Care Hospital
DOI:
https://doi.org/10.21276/apalm.3891Keywords:
FNAC, palpable cervical swellings, lymph node, thyroid, salivary glandAbstract
Background: Fine Needle Aspiration Cytology (FNAC) is a minimally invasive, rapid, and cost-effective diagnostic modality widely employed in the evaluation of cervical swellings. The present study was conducted to analyze the cytomorphological spectrum and classify lesions using standardized reporting systems.
Methods: This cross-sectional study was conducted over one year (January–December 2024) in a tertiary care centre. A total of 169 cases of cervical swellings were evaluated by FNAC. Lesions were categorized using the Sydney System (lymph node), Bethesda System (thyroid), and Milan System (salivary gland cytology).
Result: Among 169 cases, 108 (63.9%) were lymph node lesions, 30 (17.8%) thyroid, 22 (13%) salivary gland swellings and 9 (5.3%) were from sites like soft tissue and skin. Overall, 142 (84%) were non-neoplastic and 27 (16%) neoplastic. Lymph node lesions were predominantly of Category L2 Benign, with granulomatous lymphadenitis (41.7%) being the most common. Thyroid lesions were mostly benign, Category II (73.6%), chiefly benign follicular nodular disease (43.3%), while sialadenitis belonging to Category II, Non-neoplastic (59.1%) was the most common salivary gland lesion.
Conclusion: FNAC is a useful, rapid, and minimally invasive first-line diagnostic modality for the evaluation of cervical swellings. The majority of lesions are benign or inflammatory, and the application of standardized reporting systems such as the Sydney, Bethesda, and Milan frameworks enhances reproducibility, and clinician-pathologist communication.
References
1. Devkota H, Sibakoti YC, Menyangbo S, Basnet S, Jha MK BL. Correlation of fine needle aspiration cytology and histopathology of the neck swellings presenting at national academy of medical sciences, Kathmandu, Nepal. Birat J Heal Sci. 2017; 2(3):206–10.
2. Mohan A, Jain RK, Thakral RK. Cytomorphological spectrum of pediatric head and neck lesions–a comparative study in a tertiary teaching hospital in Western Uttar Pradesh, India. Indian J Pathol Oncol. 2016; 3(3):450-5.
3. Kapoor S, Bagga PK, Rupesh S, Singh A, Kumar A, Singh H. Diagnostic accuracy of fine needle aspiration cytology in palpable lesions of head and neck in comparison to histopathology. IJCMR. 2017; 4(2):449-53.
4. Nallagutta N, Reddy SE, Gour S, Ayesha S, G J, Kotikalapudi R. Fine Needle Aspiration Cytology of Head and Neck Masses. Sch J App Med Sci. 2016; 4(11B):3990–2.
5. Baruah AK, Bhuyan G. Utility of the Sydney system for reporting of lymph node cytology in a tertiary health care set up of north-eastern India. WCRJ 2022; 9: e2459.
6. Qureshi SY, Narkhede P, Hashmi F, et al. Analysis of Thyroid Lesions Cytology by the Bethesda System and Its Histopathological Correlation. European Journal of Cardiovascular Medicine 2025; 15(4):958-963.
7. Mahajan S, Sangwan M, Yadav K, Agrawal S, Sehrawat R, Sen R. The Milan System for Reporting Salivary Gland Cytopathology (MSRSGC) for Assessment of Diagnostic Accuracy of Fine Needle Aspiration Cytology and Malignancy Risk Stratification in Salivary Gland Lesions. J Med Sci Health 2024; 10(3):275-283.
8. Singh G, Jahan A, Yadav SK, Gupta R, Sarin N, Singh S. The Milan System for Reporting Salivary Gland Cytopathology: Outcome of retrospective application in a tertiary care hospital. Cytojournal. 2021; 18:12.
9. Tochtermann G, Nowack M, Hagen C, et al. The Milan System for Reporting Salivary Gland Cytopathology: A single-center study of 2156 cases. Cancer Med. 2023; 12:12198–12207.
10. Rossi ED, Bizzarro T, Martini M, et al. The role of FNAC in head and neck lesions: an update. Diagn Cytopathol. 2023.
11. Gupta N, Sharma D, Gupta R. Spectrum of FNAC in head and neck lesions: a tertiary care experience. J Cytol. 2022; 39(2):75–80.
12. Bhat S, Shetty A, Fernandes H. Role of FNAC in evaluation of cervical lymphadenopathy: a retrospective study. Indian J Pathol Microbiol. 2021; 64(3):512–517.
13. Kakoty S, Baruah MP, Das D. Bethesda system for reporting thyroid cytopathology: a 2-year study. J Cytol. 2020; 37(4):190–195.
14. Bista M, Karki S, Shrestha S. Thyroid lesions on FNAC and correlation with Bethesda system. J Pathol Nepal. 2021; 11:1800–1805.
15. Jain R, Gupta R, Kudesia M, Singh S. Fine needle aspiration cytology in diagnosis of salivary gland lesions: A study with histologic comparison. Cytojournal. 2013; 10:5.
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