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Published on: February 9, 2020
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A Clinico-Pathological Study of Cervical Lymph Nodes
Gaurav Batni1, Sushil Gaur2, O N Sinha2
1Santosh Medical College and Hospital, Ghaziabad, India ; 46 Ansal Pradhan Enclave, E-8 Extension Arera Colony, Bhopal, Madhya Pradesh India.
Summary
Fine Needle Aspiration Cytology (FNAC) is a reliable diagnostic tool for enlarged cervical lymph nodes. This study found reactive changes most common, followed by tuberculosis and malignancy, aiding early patient management.
Area of Science:
- Otolaryngology
- Pathology
- Oncology
Background:
- Cervical lymphadenopathy is a frequent complaint in Ear, Nose, and Throat (ENT) outpatient departments.
- Enlarged lymph nodes can indicate various underlying conditions, necessitating accurate diagnosis.
- Fine Needle Aspiration Cytology (FNAC) is a standard, cost-effective diagnostic procedure.
Purpose of the Study:
- To evaluate the diagnostic utility of FNAC in patients presenting with cervical lymphadenopathy.
- To determine the spectrum of pathologies causing cervical lymphadenopathy in the study population.
Main Methods:
- A prospective study involving 64 patients with enlarged cervical lymph nodes was conducted.
- Fine Needle Aspiration Cytology (FNAC) was performed for cytological diagnosis.
- Data was collected from August 2015 to May 2016 at Santosh Medical College, Ghaziabad.
Main Results:
- Reactive non-specific changes were the most common finding (51.5%).
- Tuberculous lymphadenitis accounted for 28% of cases.
- Malignant and lymphoma diagnoses were observed in 17% and 3.1% of patients, respectively.
Conclusions:
- FNAC is a dependable and crucial diagnostic tool for cervical lymphadenopathy.
- Early diagnosis through FNAC facilitates timely and appropriate patient management.
- The study highlights the prevalence of reactive and infectious causes alongside malignancies in cervical lymphadenopathy.
