Dr. Vinay Tiwary, Dr Adrija Pathak


Introduction:  Lymphadenopathy is one of the most common clinical presentations of patients attending the outdoor department of a hospital. Lymph node aspiration is of great value for the diagnosis of lymphadenitis, lymphomas, and metastatic carcinoma. 

Methods:  Sample size was 200 , In this study, we have reported the pattern of cytological diagnosis on fine-needle aspiration cytology (FNAC) of lymphadenopathy cases . The most common site of lymphadenopathy was cervical region (72%) followed by axillary region (11%). Cases were taken from all the sections , Departments , Health Centres of the Medical College

Results:  Reactive lymphadenitis (44%),  was the single most common cause of lymphadenopathy followed by Tubercular lymphadenitis (40%) , metastatic lesions (9.40%) The sensitivity of 94.49%, positive predictive value of 96.26%, and diagnostic accuracy of 91.15% was achieved in our study. 

Conclusion:   This study highlights the role of FNAC as a simple, inexpensive, relatively painless, rapid, repeatable, and reliable method of investigation for lymphadenopathy, especially in outpatient departments, peripheral hospitals, and dispensaries.



Lymphadenopathy , FNAC , Reactive lymphadenitis

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Wilkinson AR, Mahore SD, Maimoon SA. FNAC in the diagnosis of lymph node malignancies: A simple and sensitive tool. Indian J Med Paediatr Oncol 2012;33:21-4.

[Full text]

Bhuyan MA, Fakir MA, Hossain AB, Huq AH, Gupta S. Role of fine needle aspiration cytology in the diagnosis of cervical lymphadenopathy. Bangladesh J Otorhinolaryngol 2008;14:63-5.

Qadri SK, Hamdani NH, Shah P, Lone MI, Baba KM. Profile of lymphadenopathy in Kashmir valley: A cytological study. Asian Pac J Cancer Prev 2012;13:3621-5.

Das DK, Gupta SK. Fine needle aspiration cytodiagnosis of Hodgkin's disease and its subtypes. II. Subtyping by differential cell counts. Acta Cytol 1990;34:337-41.

Dhingra V, Misra V, Mishra R, Bhatia R, Singhal M. Fine needle aspiration cytology (FNAC) as a diagnostic tool in paediatric lymphadenopathy. J Clin Diagn Res 2010;4:2452-7.

Patra AK, Nanda BK, Mohapatra BK, Panda AK. Diagnosis of lymphadenopathy by fine needle aspiration cytology. Indian J Pathol Microbiol 1983;26:273-8.

Hirachand S, Lakhey M, Akhter J, Thapa B. Evaluation of fine needle aspiration cytology of lymph nodes in Kathmandu Medical College, Teaching hospital. Kathmandu Univ Med J (KUMJ) 2009;7:139-42.

Nidhi P, Sapna T, Shalini M, Kumud G. FNAC in tuberculous lymphadenitis: Experience from a tertiary level referral centre. Indian J Tuberc 2011;58:102-7.

Ageep AK. Assessment of adult peripheral lymphadenopathy in Red Sea State, Sudan. Internet J Trop Dis Health 2011;2:24-32.

Pandit AA, Candes FP, Khubchandani SR. Fine needle aspiration cytology of lymph nodes. J Postgrad Med 1987;33:134-6.

[PUBMED] [Full text]

Ahmed N, Israr S, Ashraf MS. Comparison of fine needle aspiration cytology (FNAC) and excision biopsy in the diagnosis of cervical lymphadenopathy. Pak J Surg 2009;25:72-5.

Ahmad SS, Akhtar S, Akhtar K, Naseem S, Mansoor T. Study of fine needle aspiration cytology in lymphadenopathy with special reference to Acid-fast staining in cases of tuberculosis. JK Sci 2005;7:1-4.

Khan AH, Hayat AS, Baloch GH, Jaffery MH, Soomro MA, Siddiqui S. Study on the Role of Fine Needle Aspiration Cytology in Cervical Lymphadenopathy. World Applied Sciences Journal 2011;12:1951-4.

Fatima S, Arshad S, Ahmed Z, Hasan SH. Spectrum of cytological findings in patients with neck lymphadenopathy – Experience in a tertiary care hospital in Pakistan. Asian Pac J Cancer Prev 2011;12:1873-5.


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