Pattern of lymphadenopathy in fine needle aspiration cytology: a retrospective study

Background: Lymphadenopathy is of great clinical significance as underlying disease may range from treatable infectious etiology to malignant neoplasm. In fact it is also essential to establish that swelling in question is lymph node. Incidence of lymphadenopathy appears to be increasing especially among young adults all over the world. Inflammatory and immune reaction are most frequent cause of lymph node enlargement and are self limiting in majority of cases. Lymphnode are also affected as a result of primary neoplasm or from metastasis of malignant neoplasm from regional and distant organ.Aims: Study different cytomorphological patterns associated with various lymphadenopathy and spectrum of lesion with respect to age and sex.Methods: A total of 1774 cases came for FNAC of lymphnode in the Department of Pathology, MMC & RI, MYSORE from NOV 2011 to OCT 2014 were retrieved and studied retrospectively.Results: Out of total cases, 908 were males and 865 females with age range from 3mth to 90 years with maximum number of cases diagnosed with reactive lymphadenopathy (26.2%) followed by metastatic lymphadenopathy (21.2%), Non specific lymphadenitis (18.5%), granulomatous lymphadenitis (14.65%), tuberculous lymphadenitis (14.65%), suppurative lymphadenitis (3.94%) and lymphoma(0.73%).Conclusion: FNAC recognized as a diagnostic technique because of simplicity, cost effectiveness, easily availability of results, accuracy and minimal invasion. With the advent of FNAC most of inflammatory, reactive and neoplastic condition can be diagnosed without biopsy.

Unveiling transfusions: Analyzing blood product utilization patterns in a leading tertiary care center in Madhya Pradesh, India

Background: Blood transfusions play a pivotal role in medical care, saving millions of lives annually. The timely provision of safe blood is critical in various clinical scenarios, necessitating a careful balance between supply and demand. Despite advanced blood banking facilities globally, challenges persist in ensuring appropriate blood component utilization, prompting a need for clinical audits and optimization strategies. Aims and Objectives: This study aims to analyze the patterns of blood product utilization in a tertiary care hospital in Madhya Pradesh over 1 year, focusing on transfusion requests, cross-match-to-transfusion (C/T) ratios, transfusion indices (TIs), and indications for transfusions. Materials and Methods: A retrospective study was conducted at Shyam Shah Medical College from January 01, 2023, to December 31, 2023. Data from transfusion and cross-match requests in various departments were collected. C/T ratios, TI, and non-usage probability were computed to assess blood utilization efficiency. Results: Out of 16,682 cross-matched units, 71.93% were transfused. The overall C/T ratio was 1.39. The department of medicine demonstrated the most efficient blood usage with a C/T ratio of 1.16. Obstetrics and gynecology had the highest TI (1.06), while surgery had the lowest (0.71). Indications for transfusion included anemia (29.9%), pre-operative (17.2%), intraoperative (21.8%), and post-operative (31.1%). Conclusion: This study provides valuable insights into blood utilization patterns, offering a foundation for refining transfusion practices and enhancing the efficiency of blood management in the studied tertiary care hospital