OPEN BIOPSY FOR CERVICAL NODE TUBERCULOSIS IS STILL A NEED IN OUR SET UP
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Abstract
Objectives: To assess that open biopsy is mandatory for diagnosing cervical node tuberculosis.
Material and Method: The study was conducted at DHQ Hospital, Swabi over 2 years period from January 2013 to
December 2014. Fourteen cases of cervical lymph node tuberculosis were confirmed histological by open biopsy. All
were treated with anti tuberculous as category I patients and were treated with Six months ATT with two months intensive
and four months continuation phase under Directly Observed Treatment Short course (DOTS).
Results: Fourteen cases including twelve female and two male with age range from 2 years to 60 years were diagnosed
as TB cervical lymph nodes. 5 patients (35.7%) presented with matted nodes, 4 cases presented with Cold
abscess(28.5%), discrete node in 3 cases (21.4%) and Bil node in 2 cases (14.2%). Associated constitutional signs
symptoms were fever(64.2%), weight loss (57.14%), Poor appetite and anemia (50% each) and raised ESR in 71.4%.
Conclusion: Open biopsy is still advisable for diagnosis of cervical node tuberculosis
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