Parvathy Premchandran, Rohan Abraham Rajan, Sudhakar Rao M. S
BACKGROUND The aim of this study was to compare diagnostic accuracy of Cytopuncture with Fine Needle Aspiration Cytology (FNAC) in cervical lymphadenopathy. MATERIALS AND METHODS This is a prospective study conducted on 100 patients between January 2017 and December 2017 in a tertiary care center. Patients with cervical lymphadenopathy were subjected to both FNAC & Cytopuncture after clinical examination. The two techniques were compared for the five objective parameters, using Mair’s point scoring system. RESULTS A total of 100 cases of various diagnostic findings were subjected to statistical analysis. Common clinical diagnosis observed in the study was chronic cervical lymphadenitis– 58%, acute cervical lymphadenitis- 24%, secondaries in neck- 12%, TB lymphadenitis- 6%. On comparing FNAC and cytopuncture, both the techniques yielded comparable results in granulomatous lymphadenitis, metastatic deposits, nonspecific lymphadenitis, and in malignancy, but cytopuncture was diagnostically inferior in acute inflammatory lesion and in reactive lymphadenitis. CONCLUSION FNAC and cytopuncture shows comparable results for granulomatous lymphadenitis, metastatic deposits, nonspecific lymphadenitis and in malignancy for all 5 parameters, but cytopuncture was diagnostically inferior in acute inflammatory lesion and in reactive lymphadenitis.
