Spectrum of Reactive and Metastatic Pathologies in Evaluation of Peripheral Lymph Node in Tertiary Health Center
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 4
Abstract
Introduction: Lymphadenoapthy is commonly encountered clinical entity. Appropriate diagnosis and thus treatment modality of cause is important in approach to such cases. Fine-needle aspiration cytology being less discomforting to patients is preferred before going for open biopsy of such swellings. Purpose of Study: The aim of this study was to evaluate the spectrum from reactive pathologies to metastases to peripheral lymph nodes in various malignancies in tertiary health center. Materials and Methods: The data pertaining to the details of the patients who underwent fine-needle aspiration (FNA) evaluation of superficial and deep lymph nodes from the period May 2016 to May 2017 at Silchar Medical College and Hospital, Silchar was analyzed to determine the age- and sex-distribution of the patients and the distribution of pathologies diagnosed on FNA evaluation of the lymph nodes. Results: In this study, a total of 128 patients underwent evaluation of peripheral lymphadenopathies. 58 were male patients (74.24%) outnumbering females (25.76%). The majority of patients were in age group of 21-60 years. Non-specific reactive lymphadenitis is most common cause for reactive hyperplasia of lymph nodes followed by granulomatous lymphadenitis. Among various metastatic malignancies squamous cell carcinoma metastasis are most common. Conclusion: FNA evaluation is a quick, easy, relatively non-traumatic, and, in expert hands, a reliable method of diagnosing the pathology underlying enlarged peripheral lymph nodes.
Authors and Affiliations
Momota Naiding, Shipra Singh, Sikha Agarwal, R N Choubey
Keywords
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