Clinico-pathological evaluation of cervical lymphadenopathy

Introduction: Cervical lymph nodes are peripheral lymphoid organs distributed in the neck.  The term lymphadenopathy refers to nodes that are palpable and abnormal in size, consistency or numbers. Diagnosis of cervical lymphadenopathy can vary from neoplasm to various kinds of infection. Accurate d...

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Autores principales: Rupesh Mukhia, Sushama Bhatta, Ganesh Simkhada, Abishek Thapa, Rupashia Mukhia
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Lenguaje:EN
Publicado: Society of Surgeons of Nepal 2019
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spelling oai:doaj.org-article:139899eac3c3484f9c9f15f314494a3e2021-12-05T19:15:48ZClinico-pathological evaluation of cervical lymphadenopathy10.3126/jssn.v22i2.287401815-39842392-4772https://doaj.org/article/139899eac3c3484f9c9f15f314494a3e2019-12-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/28740https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Cervical lymph nodes are peripheral lymphoid organs distributed in the neck.  The term lymphadenopathy refers to nodes that are palpable and abnormal in size, consistency or numbers. Diagnosis of cervical lymphadenopathy can vary from neoplasm to various kinds of infection. Accurate diagnosis of the cause of lymphadenopathy can sometimes be challenging and can lead to delay in diagnosis causing delayed treatment and subsequent health issues. Methods: A prospective observational study was carried out on 78 patients of cervical lymphadenopathy who presented in the surgical outpatient department of KIST Medical College. Detailed history, physical examination and necessary investigations including fine needle aspiration cytology were done in all patients Results: Most patients were between 21 to 40 years of age. The commonest cause for cervical lymphadenopathy was reactive lymphadenitis (53.84%) followed by Tuberculosis (34.61%). Secondary metastasis was seen in 7 patients (8.97%). In tubercular lymphadenitis, the anterior triangle group was the most commonly involved group of cervical lymph nodes (74 %), followed by the posterior triangle and supraclavicular equally (11.11%).   Conclusions: Reactive Lymphadenopathy is the commonest cause of cervical lymphadenopathy. However, variable diagnosis can be possible from non-neoplastic to neoplastic condition. Rupesh MukhiaSushama BhattaGanesh SimkhadaAbishek ThapaRupashia MukhiaSociety of Surgeons of NepalarticleCervical lymphadenopathyFine-Needle Aspiration CytologyReactive lymphadenopathySurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 22, Iss 2 (2019)
institution DOAJ
collection DOAJ
language EN
topic Cervical lymphadenopathy
Fine-Needle Aspiration Cytology
Reactive lymphadenopathy
Surgery
RD1-811
spellingShingle Cervical lymphadenopathy
Fine-Needle Aspiration Cytology
Reactive lymphadenopathy
Surgery
RD1-811
Rupesh Mukhia
Sushama Bhatta
Ganesh Simkhada
Abishek Thapa
Rupashia Mukhia
Clinico-pathological evaluation of cervical lymphadenopathy
description Introduction: Cervical lymph nodes are peripheral lymphoid organs distributed in the neck.  The term lymphadenopathy refers to nodes that are palpable and abnormal in size, consistency or numbers. Diagnosis of cervical lymphadenopathy can vary from neoplasm to various kinds of infection. Accurate diagnosis of the cause of lymphadenopathy can sometimes be challenging and can lead to delay in diagnosis causing delayed treatment and subsequent health issues. Methods: A prospective observational study was carried out on 78 patients of cervical lymphadenopathy who presented in the surgical outpatient department of KIST Medical College. Detailed history, physical examination and necessary investigations including fine needle aspiration cytology were done in all patients Results: Most patients were between 21 to 40 years of age. The commonest cause for cervical lymphadenopathy was reactive lymphadenitis (53.84%) followed by Tuberculosis (34.61%). Secondary metastasis was seen in 7 patients (8.97%). In tubercular lymphadenitis, the anterior triangle group was the most commonly involved group of cervical lymph nodes (74 %), followed by the posterior triangle and supraclavicular equally (11.11%).   Conclusions: Reactive Lymphadenopathy is the commonest cause of cervical lymphadenopathy. However, variable diagnosis can be possible from non-neoplastic to neoplastic condition.
format article
author Rupesh Mukhia
Sushama Bhatta
Ganesh Simkhada
Abishek Thapa
Rupashia Mukhia
author_facet Rupesh Mukhia
Sushama Bhatta
Ganesh Simkhada
Abishek Thapa
Rupashia Mukhia
author_sort Rupesh Mukhia
title Clinico-pathological evaluation of cervical lymphadenopathy
title_short Clinico-pathological evaluation of cervical lymphadenopathy
title_full Clinico-pathological evaluation of cervical lymphadenopathy
title_fullStr Clinico-pathological evaluation of cervical lymphadenopathy
title_full_unstemmed Clinico-pathological evaluation of cervical lymphadenopathy
title_sort clinico-pathological evaluation of cervical lymphadenopathy
publisher Society of Surgeons of Nepal
publishDate 2019
url https://doaj.org/article/139899eac3c3484f9c9f15f314494a3e
work_keys_str_mv AT rupeshmukhia clinicopathologicalevaluationofcervicallymphadenopathy
AT sushamabhatta clinicopathologicalevaluationofcervicallymphadenopathy
AT ganeshsimkhada clinicopathologicalevaluationofcervicallymphadenopathy
AT abishekthapa clinicopathologicalevaluationofcervicallymphadenopathy
AT rupashiamukhia clinicopathologicalevaluationofcervicallymphadenopathy
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