Fine needle aspiration cytology of pediatric cervical lymphadenopathy

Background: Cervical lymphadenopathy is a very common problem encountered in hospital settings, particularly in children. Underlying cause can be evaluated by using various diagnostic modalities. FNAC is a simple, quick and inexpensive method for evaluation of enlarged cervical lymph nodes. FNAC in children is less popular as compared to its use in adults. Objective: To determine the utility of FNAC in diagnosing pediatric cervical lymphadenopathy. Methods: The study was conducted at Northern Railway Central Hospital, New Delhi, from January 2015 to December 2016. 115 patients presenting with cervical lymphadenopathy, up to the age of 10, were included in the study. FNAC was used for making diagnosis. Results: Cervical lymphadenopathy was quite common in children, with most common cytomorphological finding being reactive hyperplasia. Most of the etiologies were benign. Conclusion: Different etiologies play role in development of cervical lymphadenopathy. FNAC is a safe and reliable diagnostic method in children obviating the need for excision biopsy.