Fine Needle Aspiration Cytology: A Reliabe Diagnostic Approach in Supraclavicular Lymph Node Swelling: A Study at Pumhs-W, Nawabshah, Sind, Pakistan
Sikandar-e-Azam Yousfani *
Department of Surgery Unit III, Peoples University of Medical and Health Sciences, Nawabshah, Sindh, Pakistan.
Saifullah Brohi
Bilawal Medical College Jamshoro, Pakistan.
Shazia Bano
Department of Dermatology, Peoples University of Medical and Health Sciences, Nawabshah,Sindh, Pakistan.
Nazia Azam Yousfani
Department of Community Medicine, Peoples University of Medical and Health Sciences, Nawabshah, Sindh, Pakistan.
Ashok Kumar
Department of ENT and Head Neck Surgery, Suleman Roshan Medical College Tando Adam, Sindh, Pakistan.
Moin Ul Islam Shah
Department of General Surgery, Suleman Roshan Medical College Tando Adam, Sindh Pakistan.
*Author to whom correspondence should be addressed.
Abstract
Objective: This study was conducted with the aim to approach the diagnostic accuracy of fine needle aspiration cytology in supraclavicular lymph node swelling at outpatient department.
Methods: The study is cross-sectional, descriptive conducted at General Surgery department Unit-III, of PUMHSW, Nawabshah, Sind, from 1st January 2019 to 31st December 2020. After the written permission from ethical Review Committee of PUMHS-W, all the patients attending Surgical/Medical outpatient department with supraclavicular lymph node swelling and sent for cytological examination from 1st January 2019-31st December 2020 were entered in SPSS-20, after filling of specially designed proforma. All the variables/demographic details were entered and analyzed by SPSS version 20.
Results: Total of 153 cases diagnosed at the Department of Pathology, PUMHS-W, and Nawabshah during the two-year period. The most commonly lesion was TB Lymphadenitis 58(38%),and 43(28%) were cases of Reactive Hyperplasia, while the malignant metastatic lesions were 38(25%) and Lymphoma and NHL were positive in 5(3%) cases.
The metastatic lesion were most commonly involve the left side 23(60.5%) and less commonly the bilateral 3(8%) involvement. The common metastatic malignancy found was squamous cell carcinoma 14(37%) followed by adenocarcinoma, undifferentiated carcinoma, small cell carcinoma, papillary thyroid carcinoma, ductal carcinoma breast, hepatocellular carcinoma and seminoma, 10(%), 5(% ),2(%), 2(%), 1(%), 1(%), 1(%) respectively.
The most commonly involved age group by mixed lesions were 41-50 years of age, and less common group involved was above 70 years of age. The metastatic malignant lesion were commonly found in 61-70 years of age group and lymphoma and Non Hodgkin Lymphoma were seen up to 60 years of all age groups.
Conclusion: Fine Needle Aspiration Cytology is a reliable diagnostic tool as it is cheap, less invasive, and timed modality for diagnosing the supraclavicular lymph node inflammation/metastatic and nodular malignancies.
Keywords: Fine needle aspiration cytology, supraclavicular lymph node, non-neoplastic, metastatic, malignant