Assessment of cervical neck lesions with contribution of fine needle aspiration cytology: a retrospective study in western Uttar Pradesh region

  • Dr. Kovuri Venkata Krishna Sudhakar Associate Professor, Department of ENT, Teerthankar Mahaveer Medical College and Research Centre, Moradabad, Uttar Pradesh India
  • Dr. Anuj Khajuria JR, Department of ENT, Teerthankar Mahaveer Medical College and Research Centre, Moradabad, Uttar Pradesh India
  • Dr. Moumita Sen JR, Department of ENT, Teerthankar Mahaveer Medical College and Research Centre, Moradabad, Uttar Pradesh India
Keywords: Cervical neck Lesions, FNAC, Malignancy and tuberculosis

Abstract

Introduction: Cervical masses have probable spectrum of nonspecific inflammation to malignancy and tuberculosis. The object of the present study was to assess a number of cervical neck mass with the role of FNAC to diagnose these lesions.

Materials and Methods: The characteristics were noted on pre-outlined questionnaire as regarding local investigation findings, laboratory and history of cases and patients’ personal details. Analysis of every case was depending upon cyto-morphology and clinical evaluation as cytological findings.

Results: Out of 520 patients there were 254 (48.84% male and 266 were female cases. Thyroid lesions were found excessive in female (85.91%) compare to male (14%). Occurrence of lymph node was found 56.12% in male cases and 43.87% in female cases, which were slightly more in male patients. The prevalence of salivary gland lesion was found more in male (55%) compare to female (45%).

Conclusion: FNAC is useful investigation in diagnosis of cervical masses.

Downloads

Download data is not yet available.

References

1. Lau SK, Wei WI, Hsu C, Engzell UC. Fine needle aspiration biopsy of tuberculous cervical lymphadeno-pathy. Aust N Z J Surg. 1988;58(12):947-950. doi:10. 1111 /j. 1445-2197.1988.tb00098.x

2. Rahman MA, Biswas MMA, Sikder AM. Scenario of fine needle aspiration cytology of neck masses in a tertiary care hospital. J Enam Med Col. 2011;1(1):8-14. doi: https://doi.org/10.3329/jemc.v1i1.11131

3. Advani SK, Aqil S, Dahar A. Role of fine needle aspiration cytology (FNAC) in neck masses/cervical lymphadenopathy. Pakistan J Chest Med. 2015;14(3).

4.Pitman MB, Abele J, Ali SZ, Duick D, Elsheikh TM, Jeffrey RB, et al. Techniques for thyroid FNA: a synopsis of the National Cancer Institute Thyroid Fine-Needle Aspiration State of the Science Conference. Diagn Cytopathol. 2008;36(6):407-424. doi: 10.1002/ dc.20829.

5. Cibas ES, Alexander EK, Benson CB, de Agustín PP, Doherty GM, Faquin WC, et al. Indications for thyroid FNA and pre-FNA requirements: a synopsis of the National Cancer Institute Thyroid Fine-Needle Aspiration State of the Science Conference. Diagn Cytopathol. 2008; 36 (6): 390-399.doi: 10.1 002/dc.20827.

6. Abati A. The National Cancer Institute Thyroid FNA State of the Science Conference: "Wrapped up". Diagn Cytopathol. 2008; 36(6): 388-89. doi: 10. 1002/dc.20850.

7. Göret CC, Göret NE, Özdemir ZT, Özkan EA, Doğan M, Yanık S, et al. Diagnostic value of fine needle aspiration biopsy in non-thyroidal head and neck lesions: a retrospective study of 866 aspiration materials. Int J Clinic Experiment Pathol. 2015;8(8): 8709-8716.

8. Steel BL, Schwartz MR, Ramzy I. Fine needle aspiration biopsy in the diagnosis of lymphadenopathy in 1,103 patients. Role, limitations and analysis of diagnostic pitfalls. Acta Cytol. 1995;39(1):76-81.

9. Lioe TF, Elliott H, Allen DC, Spence RA. The role of fine needle aspiration cytology (FNAC) in the investigation of superficial lymphadenopathy; uses and limitations of the technique. Cytopathol. 1999;10(5): 291-297. doi: https://doi.org/10.1046/j.1365-2303.1999. 00183.x

10. Pandit AA, Candes FP, Khubchandani SR. Fine needle aspiration cytology of lymph nodes. J Postgrad Med. 1987;33(3):134-136.

11. Prasad RR, Narasimhan R, Sankaran V, Veliath AJ. Fine‐needle aspiration cytology in the diagnosis of superficial lymphadenopathy: An analysis of 2,418 cases. Diagnos Cytopathol. 1996;15(5):382-386.

12. Paul PC, Goswami BK, Chakrabarty S, Giri A, Pramanik R. Fine needle aspiration cytology of lymph nodes-An institutional study of 1448 cases over a five-year period. J Cytol. 2004;21:187-190.

13. Indian Council of Medical Research, Tuberculosis in India - A sample survey, 1955-58. Special Report Series No. 34, New Delhi:1959.

14. Dandapat MC, Mishra BM, Dash SP, Kar PK. Peripheral lymph node tuberculosis: a review of 80 cases. Br J Surg. 1990;77(8):911-922. doi:10.1002/bjs. 1800770823

15.Jawahar MS, Sivasubramanian S, Vijayan VK, Ramakrishnan CV, Paramasivan CN, Selvakumar V, et al. Short course chemotherapy for tuberculous lymphadenitis in children. BMJ. 1990;301(6748):359-362. doi:10.1136/bmj.301.6748.359

16. Jasmin HJ, Hetal VV, Parul NV, Dipmala P, Yash S, Nisarg S, et al. Retrospective study of fine needle aspiration cytology of head and neck lesion in tertiary care hospital. Int J Biomed Advan Res. 2013;4(4).

17. Rathod GB, Parmar P. Fine needle aspiration cytology of swellings of head and neck region. Indian J Med Sci. 2012;66(3-4):49-54. doi: 10.4103/0019-5359. 110896.

18. Betsill WL, Hajdu SI. Percutaneous aspiration biopsy of lymph nodes. Am J Clin Pathol. 1980;73 (4):471-479. doi:10.1093/ajcp/73.4.471

19. Gupta AK, Nayar M, Chandra M. Reliability and limitations of fine needle aspiration cytology of lymphadenopathies. An analysis of 1,261 cases. Acta Cytol. 1991;35(6):777-783.

20. Evans RW, Cruickshank AH. Epithelial tumours of the salivary glands. Major Probl Pathol. 1970;1:1-299.

21. Young JA. Diagnostic problems in fine needle aspiration cytopathology of the salivary glands. J Clin Pathol. 1994;47(3):193-198. doi:10.1136/jcp.47.3.193

22. Eveson JW. Troublesome tumours 2: borderline tumours of salivary glands. J Clin Pathol. 1992;45(5): 369-377. doi:10.1136/jcp.45.5.369
CITATION
DOI: 10.17511/jooo.2019.i04.05
Published: 2019-08-31
How to Cite
Venkata Krishna Sudhakar, K., Khajuria, A., & Sen, M. (2019). Assessment of cervical neck lesions with contribution of fine needle aspiration cytology: a retrospective study in western Uttar Pradesh region. Tropical Journal of Ophthalmology and Otolaryngology, 4(4), 285-290. https://doi.org/10.17511/jooo.2019.i04.05
Section
Original Article