HomeArchiveVolume 7Volume 7, issue 1The diagnostic value of FNAC in cervical lymphadenopathy
J. Balaprasanth1, P. B. Vinod1
1MBBS, MS (GENERAL SURGERY), DNB, SENIOR RESIDENT, DEPARTMENT OF GENERAL SURGERY, GOVT T D MEDICAL COLLEGE, ALAPPUZHA, KERALA, INDIA
2MBBS, MS (GENERAL SURGERY), ASSOCIATE PROFESSOR, DEPARTMENT OF GENERAL SURGERY, GOVT T D MEDICAL COLLEGE, ALAPPUZHA, KERALA, INDIA
Abstract
Background. Fine-needle aspiration cytology (FNAC) is the basic investigation that can be performed even in small centers, with low costs, without major complications and with good patient compliance. The broad spectrum of diseases can be classified into inflammatory conditions, malignancies or lymphoma, which allows the planning of the treatment strategy or further investigation that is necessary for diagnosis. Materials and Methods. A prospective study was performed on 100 individuals with enlarged cervical lymph nodes who underwent FNAC and surgery, from 2017 to 2019. The histopathological reports of the patients were correlated with the preoperative cytological reports. Results. Of the studied cases, reactive lymphadenopathy was the most common - 43%, followed by tuberculous lymphadenopathy - 21%, granulomatous lymphadenopathy - 16%, and malignancy - 16%. Among malignancy, the most common is the secondary from squamous cell carcinoma – 11 cases (68.75%) followed by metastasis from thyroid carcinoma – 4 cases (25%) and metastasis from adenocarcinoma – 1 case (6.25%). By the age of 40, the most common malignancy is metastasis from thyroid carcinoma, while over 40, the secondary tumor from squamous cell carcinoma is the most common. Sensitivity, specificity and accuracy of FNAC are high in carcinomatous (93.75%, 100%, 99%), lymphomatous (75%, 98.96%, 98%) and tuberculous lymphadenopathy (95.24%, 96.20%, 96%). Conclusions. FNAC is a simple and safe test, with a good accuracy of diagnosis and low complications, being therefore an effective diagnostic tool.
Cite this article:
Vancouver
Balaprasanth J, Vinod PB. The diagnostic value of FNAC in cervical lymphadenopathy. J Clin Investig Surg. 2022 May 25; 7(1):76-82. Available from: https://www.proscholar.org/jcis/archive/vol.7/iss.1/14/ doi: 10.25083/2559.5555/7.1.14
NLM
Balaprasanth J, Vinod PB. The diagnostic value of FNAC in cervical lymphadenopathy. J Clin Investig Surg. 2022 May;7(1):76-82. doi: 10.25083/2559.5555/7.1.14.
AMA
Balaprasanth J, Vinod PB. The diagnostic value of FNAC in cervical lymphadenopathy. J Clin Investig Surg. 2022;7(1):76-82.
MLA
Balaprasanth, J. and Vinod, P. B. “The diagnostic value of FNAC in cervical lymphadenopathy.” Journal of Clinical and Investigative Surgery 7.1 (2022): 76-82. doi:10.25083/2559.5555/7.1.14.
APA
Balaprasanth, J., & Vinod, P. B. (2022). The diagnostic value of FNAC in cervical lymphadenopathy. Journal of Clinical and Investigative Surgery, 7(1), 76-82.
ISO 690
Balaprasanth
, J. and
Vinod
, P. B. The diagnostic value of FNAC in cervical lymphadenopathy. Journal of Clinical and Investigative Surgery, 2022, 7.1: 76-82.