Fine Needle Aspiration Cytology In Evaluation Of Cervical Lymphadenopathy In Paediatric Age Group

FNAC Evaluation Of Cervical Lymphadenopathy In Paediatric Age Group

Abstract

Background: Lymphadenopathy is common problem in children. The aim of present study is to evaluate the role of FNAC as a diagnostic procedure in paediatric patients with cervical lymphadenopathy. Material & Methods: The present study was carried out on total 148 children up to 12 years of age; who presented with palpable cervical lymphadenopathy at V.S. General Hospital during the period from July 2014 to October 2016. FNAC was done by standard procedure and slides were wet fixed and stained with
H & E stain. ZN stain was performed whenever required. Result: Most of patients were in age group of 10 to 12 years (65.54%). The male to female ratio was 1:1.17. The frequency of inflammatory and neoplastic lesions was 96.62% and 3.38% respectively. Among the inflammatory lesions, granulomatous/ tuberculous lymphadenitis [68 cases (45.94%)] was the predominant lesion, followed by reactive lymphadenitis [64 cases (43.24%)] and acute suppurative lymphadenitis [11 cases (7.43%)]. Among the neoplastic lesions, 4 cases were of Hodgkin’s lymphoma and one case was of Non- Hodgkin’s lymphoma. Female preponderance was noted for granulomatous lymphadenitis while male preponderance was observed for reactive lymphadenitis and lymphoma. Conclusion: FNAC is found to be safe, simple, reliable and cost effective method for rapid diagnosis of cervical lymphadenopathy in paediatric patients. [Parikh S Natl J Integr Res Med, 2020; 11(3):23-27]