The role of fine needle aspiration cytology and imprint cytology in cervical lymphadenopathy

To determine the diagnostic accuracy of cervical lymphadenopathy by fine needle aspiration (FNAC) and imprint cytology (IC). This study included 94 patients with cervical lymphadenopathy. This study was carried out in the Departments of General Surgery and Pathology, King Fahad Hospital, Hofuf, King...

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Veröffentlicht in:Saudi medical journal 2004-07, Vol.25 (7), p.862-865
Hauptverfasser: AL-MULHIM, Abdulrahman S, AL-GHAMDI, Ali Maqbol A, AL-MARZOOQ, Youssef M, HASHISH, Hany M, MOHAMMAD, Hamdoun A, ALI, Adel M, GHARIB, Ibrahim A
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container_title Saudi medical journal
container_volume 25
creator AL-MULHIM, Abdulrahman S
AL-GHAMDI, Ali Maqbol A
AL-MARZOOQ, Youssef M
HASHISH, Hany M
MOHAMMAD, Hamdoun A
ALI, Adel M
GHARIB, Ibrahim A
description To determine the diagnostic accuracy of cervical lymphadenopathy by fine needle aspiration (FNAC) and imprint cytology (IC). This study included 94 patients with cervical lymphadenopathy. This study was carried out in the Departments of General Surgery and Pathology, King Fahad Hospital, Hofuf, Kingdom of Saudi Arabia, from June 2001 through to July 2002. They were subjected to clinical examination and FNAC of one of the enlarged lymph nodes. This was followed by IC and histological examination of this lymph node after its excision. Clinical examination was correct in 78% of the cases. The overall accuracy of fine needle aspiration was 93%. It was accurate on all cases of reactive hyperplasia, 93% of tuberculosis lymphadenitis, 90% in Hodgkin's lymphoma, 86% in non-Hodgkin's lymphoma, and 91% of metastasis lymphadenopathy. On the other hand, the overall accuracy of IC was higher than that of fine needle aspiration, being 97%. It diagnosed all cases of reactive hyperplasia and non-Hodgkin's lymphoma, 97% in tuberculosis lymphadenitis, 90% in Hodgkin's lymphoma and 95% in metastasis lymphadenopathy. These techniques proved to be reliable, rapid, and inexpensive procedures in diagnosis of lymphadenopathy. They can differentiate well between inflammatory and neoplastic lesions, in cases of lymphoma, cytological diagnosis should be followed by histological diagnosis for accurate classification and grading.
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Adult
Biological and medical sciences
Biopsy, Needle
Cytological Techniques
Diagnosis, Differential
Female
General aspects
Humans
Lymph Node Excision
Lymph Nodes - pathology
Lymphatic Diseases - etiology
Lymphatic Diseases - pathology
Lymphatic Diseases - surgery
Male
Medical sciences
Neck - surgery
Predictive Value of Tests
Saudi Arabia
title The role of fine needle aspiration cytology and imprint cytology in cervical lymphadenopathy
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