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Lung India Official publication of Indian Chest Society  
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Year : 1996  |  Volume : 14  |  Issue : 1  |  Page : 19-23

A Comparison Of Fine Needle Aspiration Cytology, Lymphnode Biopsy And Mycobacterial Culture In The Diagnosis Of Cervical Lymphadenitis

Correspondence Address:
N. K Jain

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100 consecutive patients with cervical lymphadenitis were studied by clinical, bacteriological, histopathological and cytological methods. Taking histological examination as reliable diagnostic criterion, 64.0 per cent were found to be tuberculous, 9.0 per cent chronic nonspecific laymphadenitis, 11.0 per cent reactive hyperplasia, 4.0 per cent acute infective lymphadenitis, 3.0 per cent sinus histioytosis, 2.0 per cent lymphoma, and 7.0 per cent metastatic lymphadenitis. On FNAC, 81.2 per cent of tuberculous, 74.0 per cent nonspecific and 88.0 per cent of malignant lymphadenitis cases could be correctly diagnosed. However, the procedure was associated with an overdiagnosis of reactive hyperplasia and chronic nonspecific lymphdenitis in 70 and 70.6 per cent cases respectively. FNAC proves to be a satisfactory tool in the diagnosis of cervical lymphdenitis. The procedure is simple, safe, repeatable, and inexpensive and can be recommended on outpatient basis even in peripheral hospitals and dispensaries. However, histopathological examination is required for definitive confirmation in patients of reactive hyperplasia and chronic nonspecific lymphadenitis diagnosed by FNAC.

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