AN AUDIT OF 90 CASES OF CERVICAL LYMPHADENOPATHY AT TEACHING HOSPITALS
DOI:
https://doi.org/10.52206/jsmc.2014.4.1.469-472Abstract
BACKGROUND: Cervical lymphadenopathy is the enlargement of cervical lymph nodes beyond 1cm
in diameter. It may be due to various causes and can involve different age group and sites.
OBJECTIVE: To find out various causes of cervical lymphadenopathies in the study group.
MATERIAL AND METHODS: This cross sectional study was conducted at Departments of ENT,
Head and Neck Surgery, Saidu Teaching Hospital Swat , from April 2010 to June 2013. Patients having
enlarged lymph nodes, of either sex and of any age were included in the study for the determination of
frequency of various diseases in cervical lymphadenopathy. Clinically diagnosed cases of cervical
lymphadenopathy as well as those patients not willing for admission were excluded from the study. Fine
needle aspiration cytology (FNAC) was done in all patients for the diagnosis of various diseases.
Specific investigations like pus for AFB/culture and excisional/incisional biopsy employed in patients in
whom FNAC was inconclusive.
RESULTS: Out of 90 patients, 47 (53%) females and 43 (47%) were males. Most of the patients were
between 1-10 years. Chronic granulomatous diseases especially the tuberculous cervical
lymphadenopathy was the most common histological diagnosis in 32(36%) patients, lymphoma 22
(24%), reactive hyperplasia in 20(22%), metastasis to cervical lymph nodes inl5 (17%), and nonspecific lymphadenitis in 2(1%) case.
CONCLUSION: Tuberculosis is still the commonest cause of cervical lymphadenopathy in this region
after excluding reactive hyperplasia.
KEY WORDS: Cervical lymphadenopathy; histopathology; causes.
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