CERVICAL LYMPHADENOPATHY AND RATIO OF MALIGNANCY
Keywords:
Cervical, lymphadenopathy, metastatic, lymph node, FNACAbstract
Objective: To find out the ratio of malignancy and different pathologies involving cervical lymph nodes in order of its
frequency and proper diagnostic protocol.
Material and Methods: This prospective descriptive study was conducted at the ENT Departments of Khyber
Teaching Hospital, Peshawar from June 2007 to December 2010. A total of 150 patients were included in this study.
Fine needle aspiration cytology (FNAC) was primarily carried out in all cases while biopsy i.e. incisional/ excisional
performed in cases where FNAC was inconclusive or diagnosis of malignancy was to be confirmed.
Results: Total 150 patients aged 3-74 years with a mean of 35.44 + 17.06SD. The male to female ratio was 1.2:1.
Metastatic lymph node were found in 44 (29.33%) cases after tuberculosis which was the most common cause of
cervical lymphadenopathy in 54 (36%), followed by reactive hyperplasia 27(18.66%) and lymphoma in 22 (14.66%),
including 10 cases of Hodgkin’s lymphoma and 12 cases Non Hodgkin’s lymphoma, 2 (1.33%) patient had Kikuchi
lymphadenitis and one case proved to be sarcoidosis.
Conclusion: Early accurate diagnosis of cervical lymphadenopathy is important for appropriate treatment of the
underlying condition and prevents unnecessary complications.
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