CYTOPATHOLOGICAL EVALUATION OF METASTATIC LYMPHADENOPATHIES- A RETROSPECTIVE AND PROSPECTIVE STUDY

Background: The diagnosis of lesions and masses at diverse sites and organs can be made with help of ne needle aspiration cytology, which is safe, easy to use, affordable, well-tolerated, and widely accepted. FNAC is a valuable outpatient treatment that is relatively painless, convenient for patients and doctors alike, avoids physical and psychological damage that might occasionally follow an open surgical biopsy, and offers strong correlation between cytology and histopathology. The major goal of this study is to provide the most comprehensive picture of the present situation of lymph node metastatic lesions and to provide information on early detection, treatment, and prognosis. Method: All metastatic lymph node lesions were reported to Govt. Medical College Surat, Department of Pathology between June 2018 and June 2020 was subject of this retrospective and prospective study. Results: A total of 3091 cases of ne needle aspiration cytology were performed, 1514 cases involved supercial lymph node FNACs, out of which 200 cases had metastatic lymph node lesions. Squamous cell carcinoma from cervical lymph nodes was most prevalent metastatic lesion. Males made up the majority of cases of metastatic tumors, which occurred most frequently in patients aged 51 to 60 years. Histopathological conrmation was performed in 71 out of 200 cases, and FNAC's diagnostic efcacy was 100%. Conclusion: Cytological evaluation along with proper clinic-radiological correlation is quite useful in diagnosing metastasis with good degree of certainty.