Spectrum of different pathologies in cytology coming to a tertiary care centre: an experience over one-year duration

Shaoor Nazish; Alok Kumar; Bejoy Chandra Banerjee

doi:10.18203/2320-6012.ijrms20214412

Authors

Shaoor Nazish Department of Pathology, SNMMCH, Saraidhella, Jharkhand, India
Alok Kumar Department of Pathology, SNMMCH, Saraidhella, Jharkhand, India
Bejoy Chandra Banerjee Department of Pathology, SNMMCH, Saraidhella, Jharkhand, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20214412

Keywords:

FNAC, Granulomatous lymphadenitis, Incidence of pathologies, Reactive hyperplasia, Lipoma

Abstract

Background: The aim of the study was to study the pattern of pathologies identified on Fine needle aspiration (FNA) in a tertiary hospital in Dhanbad, Jharkhand during the period July 2020 to July 2021, as well as to identify the profile of patients undergoing the procedure at our hospital.

Methods: The data pertaining to the details of the patients who underwent FNA evaluation from the period July 2020 to July 2021 at a tertiary hospital located in Dhanbad, Jharkhand, was analysed to determine the age and sex distribution of the patients and the distribution of pathologies diagnosed on FNA.

Results: The female gender was predominant (54%; 64 out of 118 patients) among the patients who underwent FNAC. A majority of the patients were in the age group of 20 to 50 years. Lymph node aspiration (reactive and granulomatous lymphadenitis) was predominant in our series (40%; 47 cases out of 118 FNA evaluations). Lipoma was the third most common diagnosis (12.7%; 15 out of 118 FNA evaluations).

Conclusions: FNA evaluation is a quick, easy, relatively non-traumatic, and, in expert hands, a reliable method of diagnosing the pathology. Reactive lymph node hyperplasia granulomatous lymphadenitis and lipoma were three most common cases in our series.

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References

Malaker D, Jajoo ILN, Swarup K, Gupta OP, Jain AP, Poflee VW. A clinical evaluation of fine Needle aspiration cytology in the diagnosis of lymphadenopathy. Ind J Tub. 1991;17-9.

Shah PC, Patel CB, Bhagat V, Modi H. Evaluation of peripheral lymphadenopathy by fine needle aspiration cytology; a one year study at a tertiary centre. Int J Res Med Sci. 2016;4(1):120-5.

Wilkinson AR, Mahore SD, Maimoon SA. FNAC in the diagnosis of lymph node malignancies: A simple and sensitive tool. Indian J Med Paediatr Oncol. 2012;33(1):21-4.

Kumar N, Gupta BB, Sharma B, Kaushal M, Rewari BB, Sundriyal D. Role of fine-needle aspiration cytology in human immunodeficiency virus-associated lymphadenopathy: a cross-sectional study from northern India. Hong Kong Med J. 2015;21(1):38-44.

Arif SH, Hassan MJ, Jain M, Verma AK, Naim M. Role of imprint cytology in diagnosis of lymph node lesions. Indian Med Gazette. 2011:385-90.

Stewart CJ, Duncan JA, Farquharson M, Richmond J. Fine needle aspiration cytology diagnosis of malignant lymphoma and reactive lymphoid hyperplasia. J Clin Pathol. 1998;51(3):197-203.

Kumar H, Chandanwale SS, Gore CR, Buch AC, Satav VH, Pagaro PM. Role of fine needle aspiration cytology in assessment of cervical lymphadenopathy. Med J Dr DY Patil University. 2013;6(4):400-4.

Wahid FI, Rehman H, Khan Q. Diagnostic value of fine needle aspiration cytology in diagnosis of non - thyroidal neck mass. JPMI. 2010;224(4):289-94.

Zakhour H, Wells C. Diagnostic Cytopathology of the Breast. London, UK: Churchill Livingstone; 1999.

Tse GM, Tan PH, Pang AL, Tang AP, Cheung HS. Calcification in breast lesions: pathologists' perspective. J Clin Pathol. 2008;61(2):145-51.

Ferrer P, Heffernan JA, Vicandi B, Ortega L, Viguer JM. Fine needle aspiration cytology of breast fibroadenoma. A cytohistologic correlation study of 405 cases. Acta Cytol. 1999;43(4):579-86.

Rioki J, Rogena E, et al. Cytomorphological patterns of palpable breast lesions diagnosed in selected teaching and referral hospitals in Kenya: A prospective study. American J Clin Pathol. 2019;152:97.

Jain M, Majumdar DD, Agarwal K, Bais AS, Choudhury M. FNAC as a diagnostic tool in pediatric head and neck lesions. Indian Pediatr. 1999;36(9):921-3.

Prathima S, Suresh T, Harendra KM, Krishnappa J. Fine needle aspiration cytology in pediatric age group with special reference to pediatric tumors: a retrospective study evaluating its diagnostic role and efficacy. Ann Med Health Sci Res. 2014;4(1):44-7.