Our Experience Of Metastatic Lesion Of Lymph Node Diagnosed By Fine Needle Aspiration Cytology.

Abstract: Background and Objectives: Fine needle aspiration cytology (FNAC) is a useful screening test.Diagnosis of metastatic lesion by FNAC is providing a clue to the clinicians to nature and site of primary. The aim of the present study is to highlight the role of FNAC of lymph nodes in the diagnosis of suspected and unsuspected lymph node malignancies. Methodology: Retrospective study of 80 cases of metastatic lymph nodes out of total 391 lymph nodes aspirated during the period of 1st July, 2013 to 31st June, 2014 was done. This study was carried out in cytology laboratory of Pathology Department of Dhiraj General Hospital, Piparia. FNAC of the enlarged lymph node was performed taking aseptic precautions. Results: Out of total 3070 cases of FNAC, 391 cases (12.93%) were of lymph nodes. Among these, there were a total of 80 nodes reported as “positive for metastasis” accounting for 20.46% of all lymph node FNACs and 2.60% of all FNAC cases.The most common subtype of metastatic malignant tumor was squamous cell carcinoma which includes 72.5% (58 cases) of the study population.Most common site affected by metastasis were cervical lymph nodes (77.5%) followed by supra clavicular lymph nodes (12.5%), axillary lymph nodes (7.5%), abdominal lymph nodes (1.25%), inguinal lymph nodes (1.25%) respectively. Conclusion: FNAC of lymph nodes is a very useful and simple tool in the diagnosis of lymph node malignancies.

Hepatoblastoma of 12 years old female - A case report.

Hepatoblastoma is the most common primary liver tumor of childhood and after neuroblastoma and nephroblastoma the third most common abdominal neoplasm in this age group. Hepatoblastoma in adolescent and adults are worse off than in childhood because they are diagnosed late. The primary treatment is surgical resection, and the use of preresection chemotherapy can increase the number of tumors that are resectable. The prognosis for patients with resectable tumors is fairly good in combination with chemotherapy.

Adenoid cystic carcinoma of the parotid gland – A case report and review of literature.

Adenoid cystic carcinoma (ADCC) is a relatively rare malignant salivary gland tumor comprising less than 1% of all malignancies of head and neck. It can arise in any salivary gland site, but approximately 50–60% develops within the minor salivary glands. On fine needle aspiration cytology FNAC), hyaline globules surrounded by neoplastic cells forming a cell ball are the diagnostic. Adenoid cystic carcinoma, being rare, was not suspected at the first instance. The final diagnosis was made from the cytological, radiological, and histopathological reports.