2021, Vol. 3, Issue 2, Part E

Aim and Objectives: The main aim of the present study to investigate the pattern of lymphadenopathy by FNAC.

Methodology: This retrospective study on aspirates of 50 selected patients with lymphadenopathy, both male and female, was conducted at the Cytology Unit, Pathology Department, Mallaredddy institute of medical sciences, Suraram ‘x’ road, Quthubullapur municipality, Hyderabad, Andhra Pradesh from august 2013 to June 2014. This period includes review of literature, data collection, data analysis, discussion and finalizing the report. It is a laboratory investigation based study. Approval of ethics committee was obtained. Lymph node aspirates were collected from these patients using fine needle aspiration cytology (FNAC). These aspirates were then smeared and stained with hematoxylin and eosin and are observed under the microscope.

Results: Out 50 cases, 19 cases (38%) were non-specific reactive lymphadenitis, 10 (20%) were tubercular lymphadenitis, 7 (14%) were granulomatous lymphadenitis, 5 (10%) were metastatic deposits, 4 (8%) cases were castleman’s disease, and there was only 1 case (2%) of Kikuchi’s disease. There were 3 cases (6%) of Hodgkin’s lymphoma and 1 case (2%) of non-Hodgkin’s lymphoma. Acid fast staining was performed in suspected cases of tuberculosis.

Conclusion: Thus, a simple procedure as FNAC was used to identify the pattern of lymphadenopathy, to highlight the incidence of tuberculosis combined with AFB staining, to diagnose malignancies without surgical biopsy and even diagnose rare diseases of the lymph nodes.