A cytological study of enlarged supraclavicular lymph nodes through fine needle aspiration

Abstract

Background: Enlargement of supraclavicular lymph node is due to many pathological condition such as inflammatory, hematolymphoid neoplasm and metastasis but most of the studies shows metastasis is a commonest cause. Objectives: To study the cytomorphological features in aspirate obtained and render cytodiagnosis and thus delineate the cause of supraclavicular lymph node enlargement in our setup. Material and Method: This study was carried out in the department of pathology, Sarojini Naidu Medical College, Agra for a period of 2 years. The FNAC slides were studied for cytomorphological features.Result: All age group patients were included in the study and male to female ratio of 1.4:1.The maximum number of cases were malignant (58.75%) followed by granulomatous/ tubercular (33.75%), reactive hyperplasia (2.50%), acute suppurative lymphadenitis (2.50%).2.50% cases were inadequate.Conclusion: It is concluded that FNAC of enlarged supraclavicular supraclavicular lymph node is safe, convenient and rewarding procedure. It also reduces the need of surgical biopsies and thereby reducing cast and time for final diagnosis.