A Clinicopathological study on Cervical Lymphadenopathy
Journal Title: International Archives of Integrated Medicine - Year 2017, Vol 4, Issue 9
Abstract
Background: Cervical lymphadenopathy can be a confounding problem in surgical practice. The analysis of cervical lymphadenopathy is never straightforward and the difficulty is compounded by the differential diagnoses that include several diseases that resemble each other. Clinical evaluation, aspiration cytology, and open biopsy are some of the methods available for this purpose. Aim: To study the prevalence of the cervical lymphadenopathy in respect to age, sex, to study about the various clinical presentation of cervical lymphadenopathy, to correlate the pathological findings with the clinical diagnosis and to study the role of FNAC by correlating with confirmed biopsy report. Materials and methods: 75 patients with cervical lymphadenopathy were selected from the General Surgery OPD of Tirunelveli medical college. They were subjected to FNAC and excision biopsy of the nodes after a thorough history and clinical examination. The results were tabulated and analyzed. Results: The most common diagnosis was Tuberculous lymphadenitis (67%) followed by reactive (9%) and non-specific lymphadenitis (9%) with malignant secondaries (11%) and lymphomas (4%). There was a slight male preponderance (57.3%) The most common presenting age groups were between 31 to 40 years followed by 21 to 30 years. The most common presenting symptom was neck swelling (88%) followed by fever (37.3%) and Loss of weight (18.7%). Conclusion: Tuberculous lymphadenopathy continues to be the major reason for cervical lymphadenopathy with malignancy as an important differential diagnosis. FNAC is a versatile diagnostic tool and one of the least invasive tests in the workup of cervical lymphadenopathy. It is very accurate in diagnosing malignancy and lymphomas and reasonably so in diagnosing tuberculosis.
Authors and Affiliations
R. Maheshwari, Rakesh Fernando
Keywords
Related Articles
- EP ID EP410018
- DOI -
- Views 108
- Downloads 0
Bacteriological profile and antimicrobial resistance pattern of Acinetobacter species isolated from patients of tertiary care hospital of Gujarat
Introduction: Acinetobacter spp. is an emerging important nosocomial pathogen. This opportunistic bacterium is quickly becoming resistant to commonly prescribed antimicrobials. Emergence of MBLs and ESBLs is becoming a t...
A study of spectrum of referral pattern at a tertiary teaching hospital towards better obstetric care
Background: 22% of the population are constituted by women of child bearing age of 15-45 years in India. They are a vulnerable risk group which is due to pregnancy and child bearing. For providing access to essential obs...
Cytodiagnosis of Gout - A rare case report
Fine Needle Aspiration Cytology (FNAC) is very valuable in diagnosis of a periarticular lesions and thereby confirming the nature of an associated arthritic process. Gout is a disorder of uric acid metabolism that causes...
Primary total hip arthroplasty versus hemiarthroplasty for displaced neck femur fractures in older patients
Background: Hip fractures in older patients are associated with impaired mobility, excess morbidity and mortality, and loss of independence. Objectives: To determine whether total hip arthroplasty is associated with lowe...
Outcome of different graft materials used in Myringoplasty
Aim: To compare the result of graft materials i.e. temporalis fascia, tragal perichondrium and ear lobule fat in various aspects but the prime interest would be the closure of tympanic membrane perforation and postoperat...