Fine needle aspiration cytology of cervical lymph nodes: Our experience

  • Aditi Dharmesh Vasavada Gotri Medical College, Vadodara.
  • Dimple Hardik Darad Gorti Medical College & Hospital
  • Dharmesh Girish Vasavada M P Dental College & Hospital & ORI
  • Hardik Darad Private Practisioner
Keywords: Head and Neck Swellings, Fine Needle Aspiration Cytology.

Abstract

Background: Fine Needle Aspiration Cytology (FNAC) is simple, quick, inexpensive and minimally invasive technique used to diagnose different types of swellings located in the head and neck.Methods: A prospective study was performed in a tertiary health care centre from January 2016 to September 2016 in Vadodara, Gujarat. Fine Needle Aspiration Diagnosis was correlated with detail of relevant clinical findings and investigation.Results: In this study, total of 260 cases of suspected cervical lymphadneopathy were subjected to cytological evaluation. The lesions cases were broadly categorised as inflammatory lesions, cystic lesions, benign tumor & tumor like conditions, salivary gland lesions and malignant lesions. Out of these 260 cases, 184 cases were given the diagnosis of either inflammatory or benign conditions and rest 76 cases were diagnosed positive for malignancy. Out of 76 cases positive for malignancy, 65 cases gave the diagnosis of Squamous cell carcinoma metastasing to lymphnode.Conclusion: Fine Needle Aspiration Cytology is easy, simple, safe and non invasive procedure for diagnosis of head and neck swelling and easy way for surgeon whether to decide surgery or not. DOI: 10.21276/APALM.1197

References

1. Khan N, Afroz N, Haider A, Hassan MJ, Hashmi SH, Hasan SA. Role of fine needle aspiration, imprint and scrape cytology in the evaluation of intraoral lesions. Journal of cytology/Indian Academy of Cytologists. 2013; 30(4):263-269.
2. Ghartimagar, Ghosh, Ranabhat, Shrestha M , Narasimhan , Talwar Utility of fine needle aspiration cytology in metastatic lymph nodes. Journal of Pathology of Nepal 2012;1:92-95.
3. Modi P, Oza H, Bhalodia J. Utility and Adequacy of Fine Needle Aspiration Cytology in Head and Neck Lesions: A Hospital Based Study. Int J Sci Stud 2014;2(8):100-105.
4. Pandey P, Dixit A, Mahajan N C. The diagnostic value of FNAC in assessment of superficial palpable lymph nodes: a study of 395 cases Al Am een J Med Sci 2013; 6(4):320-327.
5. Nesreen H, Neveen S Reliability of fine needle aspiration cytology (FNAC) as a diagnostic tool in cases of cervical lymphadenopathy. Journal of the Egyptian National Cancer Institute 2011; 23: 105–114.
6. Howlett DC, Harper B, Quante M, Berresford A, Morley M, Grant J. Diagnostic adequacy and accuracy of fine needle aspiration cytology in neck lump assessment: results from a regional cancer network over a one year period. J Laryngol Otol 2007;121(6):571–9
7. Solanki P, Patel A, Taviad P, Chaudhari V, Patel S Fine Needle Aspiration Cytology As A Diagnostic Procedure In Head And Neck Swellings. National Journal of Community Medicine 2012; 3(3):433-436.
8. Steel BL, Schwart MR, Ramzy I. Fine needle aspiration biopsy in the diagnosis of lymphadenopathy in 1103 patients. Role, limitations and analysis of diagnostic pitfalls. Acta Cytol. 1995;39(1):76–81.
9. Bagwan I, Kane S, Chinoy R. Cytologic Evaluation of the Enlarged Neck Node: FNAC Utility in Metastatic Neck Disease. The Internet Journal of Pathology 2006; 6(2):1-7.
10. Singal P, Bal MS, Kharbanda J, Sethi PS. Efficacy of fine needle aspiration cytology in Head and Neck lesions. Int J Med and Dent Sci 2014; 3(2):421-430.
11. Sumit M, Suchandra R, Pradip MK. Fine needle aspiration cytology of supraclavicular lymph nodes: Our experience over a three-year period. Journal of Cytology 2011; 28 (3):108-110.
Published
31-08-2017
Section
Original Article