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ORIGINAL ARTICLE
Year : 2012  |  Volume : 26  |  Issue : 3  |  Page : 163-166

Pattern of disease in palpable supraclavicular lymph node: A cytopathological perspective


Department of Pathology, Regional Institute of Medical Sciences, Lamphelpat, Imphal, Manipur, India

Correspondence Address:
Rajesh Singh Laishram
Assistant professor, Department of Pathology, Regional Institute of Medical Sciences, Lamphelpat, Imphal, Manipur
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-4958 .113238

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Objectives: To study the pattern of diseashe in palpable supraclavicular lymph node using fine needle aspiration cytology (FNAC) in Regional Institute of Medical Sciences (RIMS) Hospital, Imphal, Manipur. Materials and Methods: A retrospective study was done by critically analyzing the FNAC reports of palpaple supraclavicular lymph node in last 5 years (January 2006-December 2010) at the Department of Pathology, RIMS Hospital, Imphal, Manipur. Review of all the reports were done and diagnosis was made according to standard guidelines and correlated with patient's age, sex, and side of involvement to explore the disease pattern. Results: Out of 255 cases, 48.28% were metastatic tumors, 27.5% were tuberculous lymphadenitis, 15.3% were of non-specific reactive lymphadenitis, 4.3% were non-caseating granulomatous lymphadenitis, 2.7% were of lymphoma and 1.96% was of acute suppurative lymphadenitis. Mean age of presentation of metastatic tumor was 57 years, whereas in case of tuberculous (Tb) lymphadenitis it was 34.5 years. Females were more commonly affected than males with male female ratio of 1:1.4. Left sided involvement was seen in 50%, right sided involvement in 46% and bilateral involvement in 4% of patients. Conclusion: Enlarged supraclavicular lymph node often has some serious underlying pathology both in young adults and old patients. Further, our study highlights the importance of FNAC in the initial evaluation of enlarged supraclavicular lymph nodes.


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