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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 10, Issue 2, March 2014 pp 342-344
Role of Fine Needle Aspiration Cytology of Cervical Lymphnode in Paediatric Age Group
M. G. Panchal1, Y. H. Chavan2, S. A. Deshpande3, S. V. Suvernakar4, D. P. Meshram5
1,2Assistant Professor, 3Professor and HOD, 4Associate Professor, 5Resident
Department of Pathology, Dr. Shankarrao Chavan G. M. C, Nanded, Maharashtra, INDIA.
Academic Editor : Dr. Aher K. R.
Introduction: Lymphadenopathy is a common physical finding in childhood. An unexplained lymphnadenopathyin child is a major source of parental anxiety. This study was undertaken to evaluate the utility of Fine Needle Aspiration Cytology as a rapid diagnostic tool for cervical lymphadenopathy in paediatric age group. Methodology: Total 260 patients attending OPD at Dr. Shankarrao Chavan Govt Medical College, Nanded from January 2010 to December 2012 were studied. Summary of Results: The age group ranged from 0-18 years. The commonest age group affected was 7-9 years. Male to female ratio was 1.1:1. Posterior triangle was the commonest site of lymphadenopathy 130 (50%) cases. On cytology, 122 (46.93%) cases were diagnosed as tuberculous lymphadenitis, 69 (26.54%) cases diagnosed as chronic non-specific lymphadenitis, 43 (16.54%) cases diagnosed as reactive lymphadenitis, 10 (3.85%) cases diagnosed as acute lymphadenitis, 12 (4.62) cases diagnosed as N.H.L, 02 (0.76%) cases diagnosed as hodgkin’s lymphoma, 01 (0.38%) cases diagnosed as suspicious for malignancy. Histopathological examination was possible in only 40 cases. The overall sensitivity observed was 100%, specificity 97.05% and accuracy was 97.56%. Conclusion: FNAC is a safe, simple, reliable, reproducible and cost effective procedure in the diagnosis of paediatric lymphadenopathy and is free from limitations of surgical biopsy.