Clinicopathological Study of Cervical Node Enlargement: A Prospective Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 1
Abstract
Introduction: Head and neck region is rich in lymphatics. Cervical lymphadenopathy is relatively common clinical observation. Cervical lymphadenopathy is a diagnostic dilemma to the surgeon. The various avenues available for the analysis of cervical node enlargement are clinical evaluation, aspiration cytology, and open biopsy. Aim: The study indents to find out systematically the various pathological conditions presenting with nodes. Methods: Detailed history will be taken followed by physical examination in all the patient with cervical lymphadenopathy. After making a clinical diagnosis, further relevant investigations were carried out to confirm the diagnosis. Results: Majority of the cases in this study had non-neoplastic causes for cervical lymphadenopathy in which tuberculosis is most common. Male to female ratio of 1.3:1. Maximum incidence was found to be tuberculosis. Maximum number of cases were in the age group of 21-30 years. The constitutional symptoms were fever, pain, cough, sinus, and loss of appetite. All cases presented with swelling neck. Fever was the most commonly presenting symptom. Conclusion: The most common cause of cervical lymphadenopathy is tuberculosis, reactive lymphadenitis and metastatic secondaries. Fine-needle aspiration cytology is a cheap, quick, readily available, and dependable diagnostic modality and can be used as a first line investigatory tool in outdoor departments.
Authors and Affiliations
V Pandy
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