Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The evaluation of lymphnodes (LN) by fine needle aspiration cytology (FNAC) is routinely used as an initial diagnostic tool. LN‐FNAC interpretation and its correlation with ancillary tests are not widely accepted due to lack of guidelines and cytopathological classification that directly relates to management. To categorize LN FNAC reporting into diagnostic classes as in proposed Sydney system LN‐FNAC was performed on 57 patients whose request typically originated from Physicians/Pediatricians, ENT /General Surgeons in the past one year. Detailed history and examination was done. Ultrasound report was noted for available cases. All palpable nodes were aspirated and smears were stained with Giemsa, Hematoxylin and eosin, Papanicolaou, Ziehl‐Neelsen and material was sent to district hospital for CBNAAT (Cartridge Based Nucleic Acid Amplification Test) in clinically/ cytologically suspected cases Patients age ranged from 2 to 100 years. Mean age group was 21‐30 with slight female preponderance. Majority (51) had cervical lymphnode enlargement, 3 each had axillary and inguinal lymphnodes. Of the 57 cases 24 were suspected to be of tubercular etiology of whom 17 were granulomatous with /without necrosis and 7 suppurative lymphadenitis. Two were CBNAAT positive of the eight cases tested. Acid Fast Bacilli (AFB) was positive in two. Of the 7 metastatic lymphnodes one case had deposits from PTC (Papillary Thyroid Carcinoma). Twenty five were reactive lymphadenitis and one lymphoproliferative process. Further cases were categorised into benign (49), suspicious (1) and malignant (7) according to proposed Sydney system Proposed Sydney system speeds up the reporting and helps to maintain uniformity in the reporting format and to follow treatment guidelines for patients.
How to cite this article:
H.K. Rashmi, K.R. Chatura and Y.L. Shivamurthy. Application of Sydney System for Lymph Node Cytology in a Day‐to‐Day Practice.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.9.330.334
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.9.330.334