Study of Cervical Lymphadenitis, Correlation between Clinical Features, FNAC and Histopathology of Cervical Lymphadenitis
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 8
Abstract
Introduction: Chronic granulomatosis disease, particularly cervical lymph node tuberculosis, is endemic in various parts of the world. Present study was taken up to know the incidence and etiological factors of cervical lymphadenopathy and to know the correlation between clinical presentation, FNAC and histopathology of cervical lymphadenitis. Material and Methods: This study includes 50 patients of cervical lymphadenopathy cases were studied taking detailed clinical history, physical examination and investigations, FNAC and biopsy were done. Results: The commonest cause of cervical lymphadenopathy is Tuberculosis (68%) and the next most common cause is chronic non specific lymphadenopathy (30%). The commonest age group affected is 2nd and 3rd decades. Females (60%) Males (40%). A definite history of contact with tuberculosis was obtained only in 18% in this series. 74% of the patients in this series were from low income group and 66% lived in overcrowded conditions. Tuberculous lymphadenopathy was found more in urban population (76%) than in rural population (24%). In our study the specificity and sensitivity of FNAC of tuberculous cervical lymphadenopathy is 94 and 77 respectively. Totally out of 50 cases 24 cases were suspected to have tuberculosis from the clinical features by adding FNAC as the diagnostic modality we diagnosed 28 cases with help of histopathology diagnostic accuracy reached to 34 case with tuberculosis. Conclusion: It can be concluded that FNAC is a reliable diagnostic tool in invasive surgical procedures undertaken in the diagnosis of tuberculous adenitis.
Authors and Affiliations
Naresh Kumar Vemulapalli, Pradeep Kumar Chitumalla
Keywords
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