Akademik Veri Yönetim Sistemi
2.International Antalya Scientific Research and Innovative Studies Congress, Antalya, Türkiye, 17 Mart 2022, cilt.1, ss.425-428
Lymphadenopathy located in the head and neck region is frequently seen in pediatric patients. Fine needle
aspiration cytology (FNAC) is a widely performed diagnostic procedure. In this study, we aimed to
retrospectively describe the use and results of FNAB for lymphadenopathy in children in a routine clinical
setting.
Children under the age of 18 years, who applied to our clinic due to lymph node enlargement in the head and
neck region between January 2021 and January 2022, were included in our study. Demographic data, clinical
symptoms and findings, radiological examination reports, if any, and pathology reports results were recorded
retrospectively from archive records.
There were 12 patients (6 girls and 6 boys; age range 3-17 years) under 18 years of age with head and neck
lymphadenopathy who underwent FNA. When the aspiration material taken from three of 12 patients was
examined, it was seen that it consisted of blood elements and was considered non-diagnostic. Tru-cut biopsy
was performed in one of these three patients and a diagnosis of granulomatous lymphadenitis was made. Nine
of 12 patients were diagnosed with reactive lymphoid hyperplasia, but since malignancy was considered
clinically, it was thought that the aspiration material did not represent the clinically observed mass. Surgery
was consulted for the definitive diagnosis of these nine cases. None of these patients underwent rapid on-site
evaluation (ROSE).
Experience is needed in order to obtain sufficient cytological material by aspiration in pediatric patients, and
aspiration is very laborious. Similarly, in pathological evaluation, it is important for a cytopathologist who
deals with head and neck pathology to analyze the smears. With ROSE and cytopathologist-radiologist
collaboration, cytological diagnosis adequacy and diagnosis rates can be increased.