FINE NEEDLE ASPIRATION CYTOLOGY AS A DIAGNOSTIC TOOL IN LYMPHADENOPATHY FOR PEDIATRIC AGE GROUP â€“TERTIARY CARE CENTRE
*Dr. Shruti Vimal, Dr. Sushma Kulkarni, Dr. Arpana Dharwadker, Dr. Karia Kunjal Mukesh, Dr. Sunita Bamanikar and Dr. Harsh Kumar
Lymphadenopathy is a common and challenging clinical presentation, for the patient as well as clinician specially in the pediatric age. The etiology of lymphadenopathy may be varied ranging from reactive changes to malignancies and metastatic deposits. The aim of this study was to understand the role of FNAC in the diagnosing lymphadenopathy in pediatric population and to study the various cytomorphological patterns and their frequency in lymph node aspirates. Total 251 cases were considered for the study amongst which 25 cases were excluded based on the exclusion criteria. Standard FNA procedures were undertaken and the smears were stained with Leishman, Romansky Hematoxylin and Eosin, Papanicalaou stains and special stains were done where so ever needed. The study had a total of 117 males and 109 females. Majority of the lymph nodes measured 1 to 2 cm and were reported from cervical region (66.8%). Cytomorphological studies revealed reactive lymphadenitis (48.6%) as the predominant presentation followed by tubercular lymphadenitis (25.6%), acute suppurative lymphadenitis (8.8%) and neoplastic etiology (3.5%). FNAC is yet again proved as an important and rapid diagnostic modality for the clinical and etiologic work up in cases of lymphadenopathy. Reactive hyperplasia is the most common presentation in pediatric population but tuberculous lymphadenitis is one of the most common and frequent infectious etiologies diagnosed by FNAC.
Keywords: FNAC, Lymphadenopathy, reactive hyperplasia, tuberculous lymphadenitis and lymphoma.
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