title: Clinical value of fine needle aspiration cytology in pediatric cervical lymphadenopathy patients under 12-years-of-age.
abstract: OBJECTIVE
  The purpose of this study was to evaluate the usefulness and accuracy of fine needle aspiration cytology (FNAC) in the diagnosis of pediatric cervical lymphadenopathy in patients under 12-years-of-age.
  
  
  METHODS
  A retrospective chart review was performed to evaluate patients under 12-years-of-age with cervical lymphadenopathy who underwent lymph node excision biopsy from January 2007 to June 2013. The results of FNAC were compared them with the corresponding histopathological diagnosis.
  
  
  RESULTS
  Eighteen of the 27 patients had undergone FNAC before performing excision biopsy, which diagnosed benign diseases in 15 patients and malignant diseases in three patients. All 18 patients underwent excision biopsy. FNAC had a diagnostic sensitivity of 100%, positive-predictive value of 93.3%, and accuracy of 94.5% for diagnosing pediatric cervical lymphadenopathy.
  
  
  CONCLUSIONS
  FNAC is a useful and accurate adjunct for the evaluation of pediatric cervical lymphadenopathy. FNAC should be part of the initial evaluation of pediatric patients with cervical lymphadenopathy before determining the treatment plan.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery Chonnam National University Medical School & Hwasun Hospital, Hwasun, South Korea.
authors.forename: Dong Hoon
authors.initials: DH
authors.lastname: Lee
authors.affiliation: Department of Pediatrics, Chonnam National University Medical School & Hwasun Hospital, Hwasun, South Korea.
authors.forename: Hee Jo
authors.initials: HJ
authors.lastname: Baek
authors.affiliation: Department of Pediatrics, Chonnam National University Medical School & Hwasun Hospital, Hwasun, South Korea.
authors.forename: Hoon
authors.initials: H
authors.lastname: Kook
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery Chonnam National University Medical School & Hwasun Hospital, Hwasun, South Korea.
authors.forename: Tae Mi
authors.initials: TM
authors.lastname: Yoon
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery Chonnam National University Medical School & Hwasun Hospital, Hwasun, South Korea. Electronic address: joonkyoo@jnu.ac.kr.
authors.forename: Joon Kyoo
authors.initials: JK
authors.lastname: Lee
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery Chonnam National University Medical School & Hwasun Hospital, Hwasun, South Korea.
authors.forename: Sang Chul
authors.initials: SC
authors.lastname: Lim
mesh_terms: D044963:Biopsy, Fine-Needle / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008198:Lymph Nodes / Q000473:pathology* / Q000601:surgery; D008206:Lymphatic Diseases / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D009333:Neck; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D012680:Sensitivity and Specificity
keywords: Cervical; Fine needle aspiration; Lymphadenopathy; Pediatric