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 117
- Downloads 0
Comparative study of epidural fentanyl and epidural fentanyl with magnesium sulphate for post-operative analgesia in patients undergoing lower limb surgeries
Background: Control of post-operative pain is a major concern for the patients and also for the treating physicians. Various analgesic agents such as opioids, nonopioids through various routes such as oral, intravenous,...
Surgical management in portal hypertension
Background: Portal hypertension commonly accompanies cirrhosis of liver and is a consequence of an increase in splanchnic blood flow secondary to vasodilatation and increased resistance to the passage of blood through th...
A study on the prevalence of diastolic dysfunction in type 2 diabetes mellitus in a tertiary care hospital
Background: A high prevalence of cardiac failure has been reported in diabetes mellitus. Worldwide, this represents a major burden to the health care systems. The association of cardiovascular events and diabetes mellitu...
Analytical Study of Upper Gastrointestinal Endoscopy - 200 cases
Background: Esophagogastroduodenoscopy (EGD) is an important tool to visualize the upper part of the gastrointestinal tract up to the duodenum. It has the added advantage of being not only a diagnostic but also a therape...
Study of renal complications of malaria
Background: Plasmodium falciparum malaria is one of the major health problems in many tropical countries including India and due to increase in the drug resistance in India the incidence of complicated malaria has increa...