Abstract

Among all palpable and nonpalpable masses, enlargement of lymphnodes is a most common clinical presentation in children.[1] There is now increasing application of FNAC in palpable and nonpalpable mass in pediatric cases.[5] Advantages of FNAC over surgical biopsy are rapid, cost-effective, low trauma rate, minimal complications, and morbidity.[5,6] Methodology: A retrospective cross-sectional study was done for all pediatric patients, who came for FNAC in cytology section of pathology department of GMERS Medical College & General Hospital, Junagadh for 4 years duration from January 2019 to December 2022. FNAC slides were retrieved and reviews and findings were recorded. Result: Total 80 cases were studied, among that 23 (28.8%) cases were of chronic nonspecific lymphadenitis, 12 (15%) cases were of reactive lymphadenitis, 10 (12.5%) cases were of chronic granulomatous lymphadenitis, 11 (13.8%) cases were of acute suppurative inflammation, 4 (5%) cases were of abscess, 3 (3.8%) cases were of cystic lesion, 2 (2.5%) cases were of acute inflammation, necrotizing lymphadenitis, chronic sialoadenitis, and pleomorphic adenoma, while 1 (1.3%) case of acute sialoadenitis, myoepithelial adenoma, colloid goiter and 12 (15%) cases was unsatisfactory for diagnosis. Most cases were of lymphadenopathy, which is 67 (83.8%) cases. Conclusion: Most common causes of all palpable and nonpalpable lesion in pediatric patients were chronic nonspecific lymphadenitis (28.8%) followed by reactive lymphadenitis (15%) and chronic granulomatous lymphadenitis (12.5%). Maximum cases among all cases were from cervical (neck) region lesions and between 6-12 years of age group

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