DOI: 10.36347/sjams.2017.v05i10.012

Pages: 3862-3866

The Aim of the study is to describe various cytological characteristics of TB cervical lymphadenitis and to compare diagnostic yield of FNAC with small bore needle and wide bore needle in diagnosing TB cervical lymphadenitis. This prospective study was performed using a database with 76 patients with clinical suspicion of TB cervical lymphadenopathy during August 2016- August 2017 .In the present study most common age group to be affected was 21-29 years with male to female ratio of 1:2.3. posterior triangle group of lymph nodes were involved in 32 (53.33%) patients. 34 were right sided and 20 were left sided. 53(88.33%) patients had lymph node size less than 3 cm. 43 (71.66%) cases had matted lymph nodes. 6.66% patients were found to be sputum positive for AFB. small bore needle FNAC (23G) which revealed TB lymphadenopathy in 52 (68.42%) cases, suppurative inflammation in 4 (5.26%) cases and inconclusive in 20 (26.31%). FNAC (18G) which reveled TB lymphadenopathy in 46(60.52%) cases, suppurative inflammation in 4(5.26%) cases and inconclusive in 26 (34.21%) cases. 20 cases with inconclusive FNAC were subjected to excisional biopsy and HPE which showed TB lymphadenopathy in 8 (40%) cases, Chronic Nonspecific Lymphadenitis in 10 (50%) cases and metastatic deposits in 2 (10%) cases. Sensitivity of small bore needle FNAC in diagnosis of TB lymphadenopathy is 88.23%. Sensitivity of large bore needle FNAC in diagnosis of TB lymphadenopathy is 81.08% .Hence small bore needle may be preferable to large bore needle as first line diagnostic tool in the evaluation of clinically suspected Tuberculous cervical lymphadenitis.