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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.
Insights
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.
Abstract:
Cervical lymphadenopathy is one of the commonest presenting complaint of patient in ENT OPD Fine Needle Aspiration Cytology (FNAC) is one of the most reliable, less expensive, and basic diagnostic procedure for the definitive and conclusive diagnosis for the immune system which reciprocates in the form of enlarged lymph nodes. A study was conducted in ENT Department of Santosh Medical College, Ghazibad from August 2015 to May 2016 on 64 patients with enlarged cervical lymph nodes. FNAC was done to make the diagnosis. Out of 64 patients (51.5 %) was reactive non-specific, 28 % tubercular, 3.1 % lymphoma and 17 % were malignant. FNAC is one of the most dependable diagnostic tools in case of cervical lymphadenopathy for early diagnosis and detection for the better management.
