Effect of previous radiotherapy on cervical lymph node fine-needle aspiration cytology diagnostic accuracy in head and neck cancers

2012 ◽  
Vol 122 (8) ◽  
pp. 1779-1781 ◽  
Author(s):  
Richie Chiu-Lung Chan ◽  
Jimmy Yu-Wai Chan
Keyword(s):  
Lymph Node ◽  
Diagnostic Accuracy ◽  
Head And Neck ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Cervical Lymph Node ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Needle Aspiration Cytology

scholarly journals A Study of FNAC of Cervical Lymph Nodes

1970 ◽  
Vol 7 (1) ◽  
pp. 1-5 ◽  
Author(s):  
G Shakya ◽  
S Malla ◽  
KN Shakya ◽  
R Shrestha
Keyword(s):  
Lymph Node ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Cervical Lymph Node ◽  
Cervical Lymphadenopathy ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Cervical Lymph Nodes ◽  
Fine Needle ◽  
Needle Aspiration Cytology

Background: Fine Needle Aspiration Cytology (FNAC) is a reliable and least expensive method suitable for developing countries like Nepal for the investigation of lymphadenopathy. Knowledge about the pattern of lymphadenopathy is useful in pathological reporting as well as in many clinical settings with diagnostic dilemma. This is a baseline study to investigate the pattern of cervical lymphadenopathy by lymph node FNAC in Nepalese population. Methods: A retrospective study was conducted by critically analyzing the case reports on cervical lymph node FNAC from three years' records (July 2005 to June 2008) at the National Public Health Laboratory, Teku, Kathmandu. Review of all cytological reports were done according to standard guidelines and the diagnosis was classified and correlated with patients' age and ethnicity to explore the pattern and association. Results: Of 508 cervical lymph node FNAC cases, 50.4% was reactive non-specific, 22.4% was tubercular, 4.8 % malignant, 10% chronic granulomatous and the remaining was acute suppurative (12.4%). Highest incidence of malignancy was seen in the fifth decade (50%). Whereas, tubercular lymphadenopathy was found with increasing frequency through childhood (10.5%) and adolescence (21.7%) to young adulthood (30.4%), probably indicative of waning immunity of BCG vaccination. Ethnic groups comprising of Tamang, Sherpa and Bhote had the highest incidence of malignant as well as tubercular lymphadenopathy. Conclusion: The relationship of malignant and tubercular lymphadenopthy with age and ethnicity deserves further study. Efforts at preventing tubercular and early diagnosing malignant lymphadenopathy and reducing morbidity in general will find great usefulness in such associations. Key words: Cervical Lymphadenopathy, Fine Needle Aspiration Cytology, Pattern   DOI: 10.3126/jnhrc.v7i1.2267 Journal of Nepal Health Research Council Vol. 7, No. 1, 2009 April 1-5

scholarly journals Role of fine needle aspiration cytology (FNAC) in head and neck neoplasms with histopathological correlation

2015 ◽  
Vol 04 (02) ◽  
pp. 80-85
Author(s):  
Junu Devi ◽  
Kunja Lal Talukdar
Keyword(s):  
Lymph Node ◽  
Head And Neck ◽  
Fine Needle Aspiration ◽  
Head And Neck Neoplasms ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Needle Aspiration Cytology ◽  
Sensitivity Specificity

Abstract Background : Fine needle aspiration cytology is a simple, quick,inexpensive and minimally invasive technique used to diagnose head and neck neoplasms commonly originated from cervical lymph node, thyroid, parotid and other salivary glands. In this study a correlation was done between cytology and histopathology whenever surgical specimens were available. Aim : To assess the frequency of various benign and malignant neoplasms in different age groups and to evaluate the sensitivity, specificity of fine needle aspiration cytology(FNAC) in head and neck neoplasms. Materials and method : The study was conducted between September 2011 to August 2013 and total 249 cases of head and neck neoplasms were analysed. Patients between 1 to 80 years were included in the study. Fine needle aspiration cytology (FNAC) diagnosis was correlated with histopathology whenever possible. Results: Out of 249 head and neck neoplasms 55.42% were from lymph node, 19.28% were from salivary gland, 14.86% were from thyroid gland, 1.20% were nasal mass, 9.24% from other sites (skin and soft tissue). M:F was 1.4:1. Most commonly affected age group was 51-60 years. Metastatic squamous cell carcinoma was most commonly encountered neoplastic lesion. Overall sensitivity, specificity oflme needle aspiration cytology(FNAC) were 97.92% and 91.67% respectively. Conclusion : Fine needle aspiration cytology is a highly sensitive, specific and has a definite role in diagnosing most of the head and neck neoplasms.

scholarly journals Study of diagnostic accuracy of fine needle aspiration cytology of lymph nodes over 6 years in a tertiary care hospital

2017 ◽  
Vol 5 (9) ◽  
pp. 4013
Author(s):  
Sanghita Barui ◽  
Prosenjit Ganguli ◽  
Parikshit Sanyal ◽  
Niloy Pathak
Keyword(s):  
Lymph Node ◽  
Diagnostic Accuracy ◽  
Metastatic Disease ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Granulomatous Disease ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Needle Aspiration Cytology

Background: Lymph node fine needle aspiration cytology (FNAC) is the first line investigation for evaluation of lymph node disease. Existing literature reports high degree of correlation between lymph node FNAC and histological examination. The aim of the present study is to re-evaluate the diagnostic accuracy of FNAC in view of frequent discordance between FNAC and diagnosis on biopsy.Methods: Among a total of 495 lymph node FNACs and 291 biopsies, 69 adequate FNACs which were followed up with biopsy were evaluated with standard statistical methods for assessment of diagnostic accuracy.Results: The commonest diagnosis on biopsy was reactive lymph node (34.71%) followed by granulomatous disease (26.12%) and lymphoid neoplasms (20.96%). Reactive lymphadenitis and granulomatous disease were also the two commonest categories on FNAC (34.34% and 24.85% respectively). However, the sensitivity of FNAC in diagnosis of granulomatous disease was found to be 45.83%, which increases to 70.03% if necrosis is included as a marker of granulomatous disease. The greatest sensitivity was achieved in diagnosis of metastatic disease (88.89%), followed by lymphoid neoplasms (69.23%).Conclusions: FNAC is a useful tool for excluding specific categories of lymph node diseases, esp. metastatic disease. However, the technique needs improvement as to sample more representative areas of the node, to improve its sensitivity.

scholarly journals Fine needle Aspiration Cytology of various Head and Neck Swellings

2018 ◽  
Vol 1 (2) ◽  
pp. 83-86
Author(s):  
Laxman Banstola ◽  
Swasti Sharma ◽  
Bijaya Gautam
Keyword(s):  
Lymph Node ◽  
Head And Neck ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Lymph Node Pathology ◽  
Needle Aspiration Cytology

Background: Head and neck swelling is a frequently encountered complaint in the outpatient department. A wide plethora of conditions give rise to head and neck lumps. Sometimes the diagnosis of these lesions is apparent from the site and associated features, while at other times the cause for mass in this region can be confusing. Fine needle aspiration cytology has emerged as a reliable tool for clinching the diagnosis in head and neck swellings. Methods and Materials: A retrospective study was conducted in the department of Pathology, Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara. Details of diagnosed cases of HN swellings from the period of November 2015 to February 2018 were obtained from recorded data. Descriptive statistics was applied from the data collected for analysis. Results: Out of total 456 patients included from a period of 28 months, female patients outnumbered male patients by 1.5 times. The most common age group of presentation for head and neck swellings was observed to be 20-29 years, with 93 patients which comprised of 20.39% of total. Highest incidence was that of lymph node swellings (55.04%) followed by thyroid swellings (21.49%). Conclusion: Lymph node pathology was determined to be the commonest cause for head and neck mass. FNAC is a reliable and inexpensive means in investigating such lesions, which provides immense help in treatment of patients.

scholarly journals Efficacy of fine needle aspiration cytology as a primary diagnostic tool for cervical lymphadenopathy

2021 ◽  
Vol 9 (6) ◽  
pp. 1552
Author(s):  
Sarder M. Abu Horaira
Keyword(s):  
Lymph Node ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Cervical Lymph Node ◽  
Cervical Lymphadenopathy ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Needle Aspiration Cytology ◽  
Sensitivity Specificity

Background: Cervical lymphadenopathy is a frequently encountered neck lesion in routine daily practice all over the globe. The etiology varies from a benign inflammatory process to a malignant condition. Fine needle aspiration cytology (FNAC) is now a days the initial investigation in most of the cases of cervical lymph node enlargement. The aim of this work was to evaluate the efficacy and diagnostic accuracy of fine needle aspiration cytology of cervical lymph nodes with an emphasis on discordant cases between the cytology and the histopathology.Methods: The present study was a retrospective one, conducted at the department of pathology, Rajshahi medical college and hospital located in west-northern region of Bangladesh over a period of one year (January 2019 to December 2019). FNAC assessed and histopathologically correlated 122 documented cases were included in the study.Results: The cytological diagnoses were detected to be benign in 107 cases (87.70%) and malignant in 15 cases (12.30%). Reactive lymphadenitis (67.20%) was the most common benign lesion followed by granulomatous lymphadenitis (16.40%). The overall diagnostic sensitivity, specificity, positive predictive value and negative predictive value of cytological diagnosis of cervical lymph node were 97.16%, 75%, 96.26% and 80%, respectively. The overall diagnostic accuracy was 94.26% while the overall discordance rate was 5.73%.Conclusions: FNAC is the preliminary investigation of choice in the diagnostic approach to most of the cases of cervical lymphadenopathy and it has good diagnostic sensitivity, specificity and accuracy.

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