Lymphadenopathy is the commonest clinical presentation. FNAC helps to diagnose multiple lesions avoiding biopsy. Human body has about 600 lymph nodes. A normal size of lymph node is usually less than 1 cm in diameter. Of course, there are exceptional in lymph nodes in different regions and different ages have different sizes. Lymphadenitis is the commononest extra pulmonary manifestation of tuberculosis.
It is a simple and rapid diagnostic test, economic, primary investigation with minimal trauma easily carried out in OPD.
Aim: To study the utility of FNAC of superficially enlarged lymph nodes and spectrum of diseases presented.
Material and Methods: The retrospective study was conducted for a duration of one year from June 2017 to May 2018. All the cytopathology records of superficially enlarged Lymph nodes were retrieved, data collected and analysed. Total 500 cases of FNAC were analysed during the above period. FNAC was done with 22-24 gauge disposable needle using 20 ml. syringe. The smears were dried and stained with MGG.
Results: Total 500 cases of superficial lymphadenopathy were studied. Maximum number of cases were reported in 21-30 years age groups. Cervical Lymph nodes were most commonly involved. Males were more than the females. Maximum cases reported were of Tubercular lymphadenitis followed by Reactive Lymphadenitis. Squamous cell carcinoma was the commonest metastatis.06 cases were discarded due to hypo cellularity and non-availability of clinical details.
Conclusion: FNAC is first line diagnostic, cost effective, easy, OPD procedure yielding quick and mostly definite results. It can be easily repeated too. Biopsy now follows FNAC especially in Lymphomas.