Clinicopathological Profile of Patients with Cervical Lymphadenopathy in a Tertiary Care Centre
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 7
Abstract
In the differential diagnosis of neck swelling, enlargement of cervical lymph nodes is one of the possibilities taken into consideration. Apart from clinical examination, cytological examination contributes to the work up of such cases. However open biopsy has a definite role in selected cases. Of the various causes for enlargement of cervical lymph nodes, tuberculosis has a highest share, followed by other diseases like lymphoma, metastatic carcinoma, etc. We conducted this study to describe the clinicopathological profile of patients presented with cervical lymphadenopathy in the government medical college, kozhikkode. Our study included 100 consecutive cases. Clinical, demographic, cytological and pathlogical features of patients satisfying the inclusion and exclusion criteria were taken in detail. Statistical analysis was done in R statistical environment. Most of the patients belonged to 21 to 30 age group. Most of the patients belonged to 21 to 30 age group. Sixty percent in our study presented with fever. Moreover in young age group tuberculosis forms the commonest cause and in older age group metastasis from occult primary (9 out of 13 cases).On histopathological examination in doubtful cases or other cases which warranted further excision biopsy, 45 cases of reactive hyperplasia diagnosed with fnac on biopsy came as tuberculosis (10).In case of tuberculous lymphadenitis, majority showed a unilateral involvement and the most commonly encountered group was upper cervical. Our study has studied about the clinicopathological profile of the patients presented with cerivical lymph nodes. One of the important findings we found was that tuberculosis still continues to be the most common cause. This has wider socioeconomic implications. In our series, tuberculusois constitued the most common cause for cervical lymphadenopathy on fnac as well as clinically.
Authors and Affiliations
Dr Manjush Edathikudi
Prognostic Significance of VEGF and bFGF in Egyptian CLL Patients
Though an impressive number of prognostic factors have been identified in chronic lymphocytic leukemia (CLL), which exhibits a high variability in its clinical presentation and course, many of them have not yet been appl...
Possible Applications of Nucleotidases in B-Chronic Lymphocytic Leukemia Patients; Egyptian Single Centre Study
The high variability of chronic lymphocytic leukemia’s (CLL) clinical presentation and disease course has been linked to availability of extracellular nucleotides and nucleosides under control of enzymes as CD39 and CD73...
Study on Thyroid Hormone, FSH, LH and Prolactin Levels in Patients with Primary Infertility: A Hospital Based study
The thyroid dysfunction, which is quite prevalent in the population, affects many organs including male and female gonads, thus interfering with the human reproductive physiology. Prolactin has suppressive effect on the...
Riga Fede Disease - A Case Report
Riga Fede disease is a chronic traumatic ulceration occurring on the ventral surface of tongue in neonates and infants. They are often associated with natal, neonatal teeth and erupted deciduous lower incisors. In this a...
Effect of Oral Pregabalin on Hemodynamic Stress Response to Laryngoscopy and Endotracheal intubation
Background: Direct laryngoscopy and endotracheal intubation are potent stimuli that initiate a hemodynamic response leading to increase in heart rate and blood pressure. This response can be attenuated by appropriate pre...