ClinicoPathological Correlates of Cervical Lympha

Authors: Gautam Biswas Anjan Das Dibakar Haldar Ankur Mukherjee Sirshak Dutta Ramanuj Sinha

Publish Date: 2012/01/06

Volume: 65, Issue: 1, Pages: 42-47

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Abstract

Neck is the most common site of peripheral lymph node enlargement and is very frequently encountered in otolaryngological practice This study was done to delineate distribution of clinicodemographic parameters in patients presenting with cervical lymphadenopathy in the otolaryngology outpatient department of a state hospital in India in a 1 year period and to correlate them with fine needle aspiration cytological diagnosis Recordbased cross sectional study in the department of Otolaryngology and department of Pathology Calcutta National Medical College and Hospital Kolkata Case reports and cytological reports of 423 patients who underwent Fine Needle Aspiration Cytology FNAC of cervical lymph nodes between January 2009 and December 2009 were reviewed in relation to their demographic and clinical profiles The cases were divided into three groups according to age and different parameters were described according to these groups In the cytopathological diagnosis tubercular lymphadenitis was most prevalent diagnosis 454 Among the metastatic secondaries squamous cell carcinoma was most common 85 Nonspecific/reactive lymphadenitis was significantly more common in 14 years TB lymph node in 15–59 years and malignancy among the ≥60 years age group Juguloomohyoid level III and Supraclavicular level VB groups of Lymph nodes were found significantly more involved by malignancy whereas Jugulodiagastric level II Postauricular Submandibular groups level IB were more commonly involved in TB Malignancy patients presented late in respect to the tuberculosis patients Knowledge about clinicodemographic perspectives of cervical lymphadenopathy in respect to their cytopathological diagnosis will help care giver practioners to detect/refer the respective cases early for investigations and treatment

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