A STUDY ON CYTOLOGY OF VARIOUS LYMPHADENOPATHIES PRESENTING IN PATHOLOGY DEPARTMENT OF A TEACHING HOSPITAL

Dr. Vinay Tiwary, Dr Adrija Pathak

Abstract


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.

 


Keywords


Lymphadenopathy , FNAC , Reactive lymphadenitis

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