Malhotra Aneeta Singh, Lahori Mega, Nigam Arti, Khajuria Arvind
Department of Pathology, Acharya Shri Chander College of Medical Sciences, Jammu, Jammu and Kashmir, India.
Department of Pathology and Lab Medicine, Metro Hospital and Heart Institute, Gurgaon, Haryana, India.
Int J Appl Basic Med Res. 2017 Apr-Jun;7(2):100-103. doi: 10.4103/2229-516X.205812.
Lymphadenopathy is one of the most common clinical presentations of patients attending the outdoor department of a hospital. Lymph node aspiration is of great value for the diagnosis of lymphadenitis, lymphomas, and metastatic carcinoma.
In this study, we have reported the pattern of cytological diagnosis on fine-needle aspiration cytology (FNAC) of lymphadenopathy cases in Jammu region of Jammu and Kashmir state of India. The mean age of all the patients in this study was 21.67 years. The most common site of lymphadenopathy was cervical region (71.79%) followed by axillary region (11.11%).
Tubercular lymphadenitis (44.02%) was the single most common cause of lymphadenopathy followed by reactive lymphadenitis (42.64%), metastatic lesions (9.40%), and malignant lymphoma (4.70%). The sensitivity of 94.49%, positive predictive value of 96.26%, and diagnostic accuracy of 91.15% was achieved in our study.
This study highlights the role of FNAC as a simple, inexpensive, relatively painless, rapid, repeatable, and reliable method of investigation for lymphadenopathy, especially in outpatient departments, peripheral hospitals, and dispensaries.
淋巴结病是医院门诊患者最常见的临床表现之一。淋巴结穿刺抽吸术对淋巴结炎、淋巴瘤和转移性癌的诊断具有重要价值。
在本研究中，我们报告了印度查谟和克什米尔邦查谟地区淋巴结病病例细针穿刺抽吸细胞学检查（FNAC）的细胞学诊断模式。本研究中所有患者的平均年龄为21.67岁。淋巴结病最常见的部位是颈部（71.79%），其次是腋窝（11.11%）。
结核性淋巴结炎（44.02%）是淋巴结病最常见的单一病因，其次是反应性淋巴结炎（42.64%）、转移性病变（9.40%）和恶性淋巴瘤（4.70%）。本研究的敏感性为94.49%，阳性预测值为96.26%，诊断准确性为91.15%。
本研究强调了FNAC作为一种简单、廉价、相对无痛、快速、可重复且可靠的淋巴结病检查方法的作用，尤其是在门诊、基层医院和诊所。
