IJCRR - vol 06 issue 01, January, 2014
FINE NEEDLE ASPIRATION (FNAC) AS A DIAGNOSTIC TOOL IN PAEDIATRIC LYMPHADENOPATHY.
Author: Heming Agrawal, R.N. Gonsai, Shilpa Singal, H.M. Goswami
Aim - This Study has been undertaken to evaluate the diagnostic role of Fine Needle Aspiration Cytology (FNAC) in paediatric lymphadenopathy. Materials and Method - 102 paediatric patients (upto 14 years of age) with Lymphadenopathy were subjected to FNAC over a period of 6 months (January 2013 to June 2013). FNAC was done as a routine procedure using 22 gauge needle with standard precautions. Smears obtained were stained with May-Grunwald-Giemsa (MGG), Papanicolaou (PAP) and Hematoxylinand Eosin (Hand E). Special stain used was Ziehl-Neelsen (ZN) for Acid Fast Bacilli (AFB). Result - In this study, out of 102 cases 56(54.9%) patients were males and 46(45.0%) patients were females. The male and female ratio was 1.22:1. Inflammatory lymphadenopathy comprised 97.05% of the total lesions of the lymph nodes. It included 66.66% cases of chronic non specific lymphedenitis, 27.45% cases of granulomatous lymphadenitis, 1.96% cases of acute suppurative lymphadenitis and 0.96% cases of Kikuchi's diseases. Malignant lesions were seen in 3(2.94%) patients. Conclusion - FNAC is a very simple and expeditious procedure which can be carried out with ease in children. The diagnostic accuracy of the cytosmears was 98.89% and the overall sensitivity and specificity were 91.3% and 99.1%, respectively so, FNAC is fairly accurate in the diagnosis of lymphadenopathy.
Keywords: Fine needle aspiration cytology, FNAC, paediatric, children, lymphadenopathy.
Heming Agrawal, R.N. Gonsai, Shilpa Singal, H.M. Goswami. FINE NEEDLE ASPIRATION (FNAC) AS A DIAGNOSTIC TOOL IN PAEDIATRIC LYMPHADENOPATHY. International Journal of Current Research and Review. vol 06 issue 01, January, 39-43
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