Original Research Article
Year: 2019 | Month: October | Volume: 6 | Issue: 10 | Pages: 343-346
Aspiration Cytology of Metastatic Cervical Lymph Node: A Tertiary Health Centre Based Study
Pranshu Sharma1, Pranveer Singh Rao2, Khushbu Talreja3
1,2Assistant Professor, Department of Pathology, Ananta Institute of Medical Sciences, Rajsamand
3Senior Resident, Department of Pathology, Government Medical College, Kota
Corresponding Author: Pranveer Singh Rao
ABSTRACT
Objective: the present study was conducted to assess the prevalence and cytological pattern of various metastatic cervical lymph nodes in the southern part of Rajasthan, India.
Material and Methods: The prospective study was conducted in a tertiary healthcare centre of southern Rajasthan, India during the period of 1 year from August 2018 to August 2019. 100 patients with cytologically diagnosed metastatic cervical lymph node were included in the study. Review of all cytological reports were done according to standard guidelines and the diagnosis was classified and correlated with patient age and sex to explore the pattern and association.
Results: Age of the patients’ ranges from 29 to 70 years with the mean age of 54.16 years. Maximum patients (80%) were from the age group > 50 years. Among the 100 study participants, 83% were male and 17% were females (Male: Female ratio- 4.89:1). Primary site was known in 89% cases while primary was occult in 11% cases. Out of 89 cases of known primary, 32 cases had primary in oral cavity followed by 24 cases having primary in larynx. On cytological examination, squamous cell carcinoma was found to be the most common type of tumour type (71%) followed by Adenocarcinoma (20 %).
Conclusion: Fine needle aspiration cytology is an effective, economical and reliable method in diagnosing metastasis with good degree of certainty. Squamous cell carcinoma is most common type of metastatic tumour which commonly affects older individuals after the fifth decade with male preponderance.
Key words: Metastasis, Carcinoma, Lymph Node, cytology, Cytology.
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