Clinicopathologic Profile of Significant Cervical Lymphadenopathy in Children Aged 1–12 Years
Autor: | Mohan H. Kulkarni, Rekha B Puranik, Vamseedhar Annam |
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Rok vydání: | 2009 |
Předmět: |
Male
medicine.medical_specialty Histology Tuberculosis Biopsy Fine-Needle Tonsillitis Lymph node biopsy HIV Infections Tuberculosis Lymph Node Pathology and Forensic Medicine Cervical lymphadenopathy Neoplasms Biopsy medicine Humans Child Lymphatic Diseases medicine.diagnostic_test business.industry Infant Pharyngitis General Medicine medicine.disease Dermatology Surgery Lymphatic disease Child Preschool Female Histopathology medicine.symptom business Neck |
Zdroj: | Acta Cytologica. 53:174-178 |
ISSN: | 1938-2650 0001-5547 |
DOI: | 10.1159/000325120 |
Popis: | Objective To emphasize the role of fine needle aspiration cytology '" (FNAC) in etiologic workup in significant cervical lymphadenopathy in children. Study Design A total of336 consecutive children, aged 1 month to 12 years, with significant cervical lymphadenopathy were subjected to FNAC. Children on empirical/specific therapy for lymphadenopathy for > 2 months and children with lymphadenopathy other than cervical region were excluded from this study. Results Of 324 cases, the cytomorphologic features observed were reactive lymphadenitis in 58.02% of cases, granulomatous lymphadenitis in 30.55%, suppurative lymphadenitis in 7.10% and malignancies in 5.62%. The remaining 3.57% of cases were excluded because of inadequate aspiration. The most common cause diagnosed was tuberculosis in 29.01% of cases followed by chronic tonsillopharyngitis in 28.39%, suppurative lymphadenitis in 7.10%, human immune deficiency infection in 5.55% and malignancies in 4.32%. Conclusion FNAC is an important diagnostic modality for the etiologic workup in significant cervical lymphadenopathy in children. It is almost as sensitive and specific as excision lymph node biopsy when an adequate aspirate is examined by expert eyes. |
Databáze: | OpenAIRE |
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