Morphological Spectrum of Diseases in Patients Presenting with Enlarged Cervical lymph Nodes, Diagnosed on FNAC
Keywords:Cervical lymphadenopathy, Tuberculosis, FNAC.
Objective: Purpose of the study was to know the relative frequencies of different morphological disease patterns in patients of cervical lymphadenopathy by FNAC.
Study Design: A descriptive cross sectional study.
Place and Duration of Study: Surgery and Pathology department of Pakistan Railway teaching Hospital Rawalpindi from January 2005 to October 2011.
Materials and Methods: Results of fine needle aspiration cytology of patients with enlarged cervical lymphnodes was recorded.
Results: Total number of patients was 150. The male to female ratio was 1.3:1 (86 males and 64 females). The maximum patients were in 11-20 years (40%), followed by 21-30 years (20%). The youngest patient was 4 Years and the oldest was 67 years. The FNAC showed chronic granulomatous inflammation suggestive of tuberculosis (43%) as the commonest pathology, followed by reactive hyperplasia (39%), nonspecific lymphadenitis (9%), lymphoma, (5%), and metastatic carcinoma (4%).
Conclusion: All patients with enlarged cervical lymph nodes should be thoroughly investigated. FNAC is a reliable diagnostic tool in evaluation of lymphadenopathy. Chronic granulomatous inflammation suggesting tuberculosisis one of the major causes of enlarged cervical lymphnodes in our country.