Evaluation of Cervical Lymphadenopathy in Lesions of Ear, Nose and Throat- An Observational Clinical Trial
Journal Title: International Journal of Medical Science And Advanced Clinical Research (IJMACR) - Year 2018, Vol 1, Issue 6
Abstract
Background: Cervical lymphadenopathy is a common clinical condition. It may be primary regional lymphadenopathy but mostly it may be secondary to either infective lesion in areas that drain to neck or due to metastasis from the malignant lesions of the areas which drain into cervical lymphnodes of different levels. Objectives: This study was performed to evaluate the clinical behavior, management and outcome of cervical lymphnodes and to determine the distribution of primary site in upper aero digestive tract in cases of cervical lymph node metastasis. Methods: Patients visiting the ENT OPD and/or admitted in the IPD for Cervical Lymphadenopathy was taken up for study with the help of relevant history, thorough clinical examination of nose, paranasal sinuses, oral cavity and pharynx. Appropriate investigations including FNAC (Fine Needle Aspiration Cytology), Ultrasound of the neck, endoscopy etc. was performed for each patient. Results: Out of 40 cases presenting with cervical lymphadenopathy, 29 of the patients presented at stage IVA i.e., 72.5%, 4 cases at stage III i.e., 10%, 2 cases at stage IVB i.e., 5%. Remaining out of 5 cases, 3 cases were CAT-I i.e., 7.5%, 2 cases were stage IA and IIIB of Hodgkin’s and Non-Hodgkin’s lymphoma respectively i.e., 5%. Conclusion: By this study it is evident that there is clear pattern of relationship between organ-specific drainage and incidence of cervical metastasis. This study helps in planning and dealing occult metastasis tumors and other lesions of oral cavity, pharynx by following echelon lymphnodes for the corresponding primary sites.
Authors and Affiliations
Dr. Rohit Stephen Mede
Keywords
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