Mir Attaullah Khan, Walayat Shah, Shagufta Naser Pervez, Shafiullah Khan, Shah Jehan, Sadar Rahim


Background: FNAC is considered as a reliable and inexpensive test for diagnosing lymphadenopathy cases with a high degree of accuracy. The objective of this study was to determine the cytomorphological pattern of superficial lymph node aspirates.
Material & Methods: This cross-sectional study was conducted in the Department of Pathology, Bannu Medical College, Bannu, Pakistan from October, 2012 to September, 2013. All patients with superficial lymphadenopathy were included in the study. Patients with a history of less than four weeks lymphadenopathy, having acute inflammatory process in the draining area or having lymphadenopathy due to known primary malignancy were excluded. The demographic variables were sex, age in years and age grouping. The research variables were site and cause of lymphadenopathy. Age grouping was; up to 15 years, 16-40 years and above 40 years.
Results: Out of 235 cases, there were 110(46.80%) males and 125(53.20%) females. The mean age of the sample was 35.00±13.50 (05-70) years. The frequency of age group up to 15 years was 82(34.90%), of 16-40 years was 50(21.27%) and of above 40 years was 103(43.83%). Site of lymphadenopathy were; left cervical lymph nodes in 105 (44.68%), right cervical lymph nodes in 60(25.53%), bilateral cervical lymph nodes in 11(4.68%), axillary lymph nodes in 30(12.76%), and other sites were involved in 29(12.35%) cases. The most cause of lymphadenopathy was chronic granulomatous lymphadenitis in 110 (46.8%).
Conclusion: Fine needle aspiration cytology is a good diagnostic tool in diagnosis of lymphadenopathy and will significantly enhance the institution of timely and appropriate treatment regimens.


Fine needle aspiration; Cytology; Lymphadenitis; Reactive lymphoid hyperplasia; Lymphadenopathy; Tuberculous lymphadenopathy; Cytopathology; Lymphoproliferative Disorders

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