Abstract

FNAC provides a great opportunity to explore the myriad lesions that involve these lymph nodes. Fine needle aspiration in the investigation of head and neck and lesions has become a standard and frequently practiced invasive technique and it is cheap and accurate first line of investigation in trust based hospital. Materials and methods: This study was carried out over a period of 7 years(September 2015 to December 2022). A total of 140 patients with head and neck lesions were subjected to FNAC. Out of 140 cases, 02 cases were excluded because of failure to aspirate the material from lymph nodes; hence only 138 cases were available for analysis. Results: In the present study, the various causes of head and neck lesions were classified according to cytomorphological patterns. Among the diagnostic outcome, overall prevalence of tuberculosis was 10 (7.29%), granulomatous lymphadenitis was 50 (36.23%), positive for maliganant cells 02 ( 1.47%), suppurative lymphadenitis was 09 (6.52%), thyroid tumors 59(42.75%),reactive lymphadenitis 04(2.89%) and lipoma 04(2.89%). Conclusion: The present study confirmed that FNAC of lymph nodes and midline swelling are an excellent first line method for investigating the nature of the lesions. Also combination of fine needle aspiration cytology with acid fast staining is highly valuable for routine diagnosis of tuberculosis.

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