Research Paper
Role of FNAC in the diagnosis of lymph node malignancies in the head and neck region.
Background: Enlarged lymph nodes are easily accessible for FNA and hence FNAC is a very simple and diagnostic tool for lymph node lesions. FNAC is rapidly emerging as a useful tool in the diagnosis of metastatic lesions of lymph nodes. Aims: The present study aimed at studying the role of FNAC in diagnosing lymph node malignancies. Methods: The study was conducted over a period of one year from November 2014 to October 2015. A total of 441 aspirations were performed on enlarged lymph nodes in the head and neck region. The cytological diagnosis was correlated with histopathological diagnosis wherever available. Results: Of the 441 aspirations performed on lymph nodes in the head and neck region, 81(18.37 %) were diagnosed with lymph node malignancies. Of 81 cytologically diagnosed cases, Histopathological correlation was available in 52 cases which were included in the study. The age group ranged from 8 to 82 years with males being more involved (78% cases). The overall diagnostic accuracy in diagnosing lymph node malignancies in our study came out to be 98.08% % and sensitivity was 100%. The cervical group of lymphnode is the most common group to be involved by malignancy and Squamous cell carcinoma being the most common histologic type.
Lymph nodes FNAC(Fine Needle Aspiration Cytology) HPE(Histopathological Examination) Squamous cell carcinoma.
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