Document Type : Original Research
Authors
1 Dept. Of Pathology, West Bengal University of Health Sciences, Kolkata, India
2 Dept. Of Microbiology, West Bengal University of Health Sciences, Kolkata, India
3 Dept. Of Anatomy, West Bengal University of Health Sciences, Kolkata, India
4 Dept. Of Medicine, West Bengal University of Health Sciences, Kolkata, India
Abstract
Background and Objective: Fine needle aspiration cytology (FNAC) is well accepted as a useful diagnostic technique in the management of adult patients with head and neck lumps. But, until recently, very few reports have been obtained regarding the role of FNAC in nonthyroidal neck masses in children. Hence, the objective of our study was to determine the diagnostic value of fine needle aspiration cytology in the diagnosis of paediatric nonthyroidalneck masses.
Methods: This descriptive study was conducted at the Department of Pathology,Dr.BCRoyPGIPSKolkata from January2012 to December 2012. Hundred patients with non-thyroidal neck masses fulfilling theinclusion criteria were included in the study. Fine needle aspirations were performed by Leishman-Giemsa staining.
Results: The most common nonneoplastic neck swelling seen in children were an enlarged lymph node due to inflammation 38(42.2%),i.e., reactive lymphadenitis. Others were TB lymphadenitis25(27.8%), nonTB granulomatous lymphadenitis 2(2.22%), chr.sialadenitis 2(2.22%), branchial cyst 4(4.44%) and epidermal cyst 3(3.33%) cases.
Overall sensitivity, specificity, positive predictive value and negative predictive value of FNAC in our cases are 93.06%, 72.22%, 93.06% and 72.22%.
Conclusion:FNA is a valuable diagnostic tool in the management of children with the clinical presentation of a suspicious neck mass. The technique reduces the need for more invasive and costly procedures like open biopsy.
Keywords
- Alam K, Khan R, Jain A, Maheshwari V, Agrawal S, Chana RS, Harris SH.The value of fine-needle aspiration cytology in the evaluation of pediatric head and neck tumors. Int J Pediatr Otorhinolaryngol 2009;73(7):923-7.
- Tayler SR, Nunez C. Fine needle aspiration biopsy in a pediatric population:report of 62 consecutive cases. Cancer 1984;54:1449–53.
- Dave B, Shet T, Ramadwar M, Kane S. Cytological evaluation of head and neck tumors in children- a pattern analysis. DiagnCytopathol2006;34(6):434–46.
- Liu ES, Bernstein JM, Sculerati N, Wu HC. Fine needle aspiration biopsyof pediatric head and neck masses. Int J Pediatr Otorhinolaryngol.2001;60(2):135–40.
- Mathew S, Ali SZ. Parotid fine needle aspiration: A cytologic study ofpediatric lesions. DiagnCytopathol 1997;17:8–13.
- Howell LP. Changing role of fine needle aspiration in diagnosis of pediatric masses.DiagnCytopathol 2001;24:65–70.
- Smallman LA, Young JA, Oates J, Proops DW, Johnson AP. Fine needle aspiration cytology in the management of ENT patients. J LaryngolOtol 1988;102(10):909-13.
- Frable WJ, Frable MAS. Thin needle aspiration biopsy in the diagnosis of head and neck tumors. Cancer 1979; 43(4): 1541-8.
- Mobley DL, Wakely PE, Frable MA. Fine needle aspiration biopsy: Application to pediatric head and neck masses. Laryngoscope 1991;101:469-72.
- Mahbod G, Koasri F, Tafreshi MA. Fineneedle aspiration cytology in diagnosis of nonthyroidal neck masses.ActaMedIran2002;40:49-51.
- Sheahan P, Fitzgibbon J, O'leary G, Lee G.Efficacy and pitfalls of fine needle aspiration in the diagnosis of neck masses. J R CollSurgEdinbIrel 2004;2:152-6.
- Hussain M, Rizvi N. Clinical and morphologicalevaluation of tuberculou peripheral lymphadenopathy. J Coll Physician Surg Pak2003;13(12):694-6.
- Al-Mulhim AS, Al-Ghamdi AM, Al-MarzooqYM, Hashish HM, Muhammad HA, Ali A, etal. The role of fine needle aspiration cytologyand imprint cytology in cervical lymphadenopathy. Saudi Med J 2004;25:862-5.
- Khajuria R, Goswami KC, Singh K, DubeyVK. Pattern of lymph-adenopathy on fine needle aspiration cytology in Jammu. J K Sci2006;8:157-9.
)