Role of FNAC in the diagnosis of lymph node malignancies - An institutional experience


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Article type :

Original Article

Author :

Chhavi Gupta, Rajat Gupta, Subhash Bhardwaj

Volume :

8

Issue :

1

Abstract :

Background: Lymphadenopathy is a sign of underlying infection, primary or metastatic malignancy. Fine-needle aspiration is a simple and reliable tool for its initial investigation. Objectives: To analyse the cytomorphological features of malignant lymph node lesions and to determine the frequency of different lymph node malignancies. Materials and Methods: It was an observational, retrospective study conducted in the cytology section of Department of Pathology, Govt. Medical College, Jammu. It included lymph node aspirates that were reported as malignant. May-Grunwald-Giemsa (MGG) and Papanicolaou (PAP) stained smears were examined under light microscope and the cytological features were studied. Results: A total of 97 malignant lymph node aspirates were included in this study. Metastatic malignancy accounted for maximum number of cases (78, 80.4%) followed by lymphoma (19, 19.6%). Squamous cell carcinoma was the most common metastatic malignancy and also the most frequently diagnosed malignant lesion in our study (42, 43.3%). Cervical lymph nodes were the most commonly aspirated lymph nodes. Conclusion: FNAC of lymph nodes is a simple and valuable tool in the diagnosis of lymph node malignancies.  

Keyword :

Lymph node, FNAC, Malignant