The Importance of Supraclavicular Lymph Node FNAC: Striking Prevalence of Major Pathologies in a Tertiary Care Private Practice

Authors

  • Mehdi Ashik Chowdhury Associate Professor and Head of the Department, Tairunnessa Memorial Medical College
  • Tarana Tabashum Associate Professor Department of Pathology East West Medical College Hospital Dhour, PO:Nishat Nagar, PS:Turag Dhaka-1230, Bangladesh
  • Fahmida Siddika Assistant Professor, Department of Pathology,Tairunnessa Memorial Medical College
  • Nasima Akter Professor and Head of the Department, East West Medical College Hospital
  • Nur E Tamanna Consultant Sonologist, Tairunnessa Memorial Medical College
  • Akash Sheikh Intern Doctor, Tairunnessa Memorial Medical College
  • Ali Ahsan Shawon Medical Technologist, Tairunnessa Memorial Medical College

DOI:

https://doi.org/10.3329/ewmcj.v14i1.83070

Keywords:

Supraclavicular Lymph Node, FNAC, Tuberculosis, Lymphoma, Metastatic Carcinoma, Papillary Thyroid Carcinoma

Abstract

Background: Supraclavicular lymphadenopathy is often a clinical indicator of serious underlying pathology. Fine Needle Aspiration Cytology (FNAC) is a simple yet highly effective diagnostic tool.
Objective: To assess the diagnostic yield and prevalence of major pathologies in supraclavicular lymph node FNAC cases.
Methods: A retrospective analysis of 110 supraclavicular lymph node FNACs performed in a private histopathology practice setting was conducted.
Results: Among the 110 cases, 55 (50%) were tubercular lymphadenitis, 18 (16.4%) lymphomas, 19 (17.3%) metastatic carcinomas (small cell lung carcinoma, squamous cell carcinoma, adenocarcinoma), 10 (9%) metastatic papillary thyroid carcinomas, and 8 (7.3%) soft tissue tumors misdiagnosed clinically as lymph nodes.
Conclusion: FNAC of supraclavicular lymph nodes revealed 100% prevalence of major pathology, reinforcing its critical role in early diagnosis and management, particularly in resource-limited settings.

EWMCJ Vol. 14, No. 1, January 2026: 43-47

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Published

2026-01-01

How to Cite

Ashik Chowdhury , M., Tabashum, T., Siddika, F., Akter, N., E Tamanna, N., Sheikh, A., & Ahsan Shawon, A. (2026). The Importance of Supraclavicular Lymph Node FNAC: Striking Prevalence of Major Pathologies in a Tertiary Care Private Practice. East West Medical College Journal, 14(1), 43–47. https://doi.org/10.3329/ewmcj.v14i1.83070

Issue

Vol. 14 No. 1 (2026)

Section

Original Article

License

Copyright (c) 2026 Mehdi Ashik Chowdhury , Tarana Tabashum, Fahmida Siddika, Nasima Akter, Nur E Tamanna, Akash Sheikh, Ali Ahsan Shawon

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.