Authors :
Dr.Shaik Nazma; Dr.P.Hari Krishna
Volume/Issue :
Volume 8 - 2023, Issue 2 - February
Google Scholar :
https://bit.ly/3IIfn9N
Scribd :
https://bit.ly/3Y3KGTT
DOI :
https://doi.org/10.5281/zenodo.7674590
Abstract :
The term lymphadenopathy refers to nodes that are
abnormal in size, consistency or number. Cervical
lymphadenothy is one of the common and important
presentations of the underlying pathology of the head
and neck region which has large number of differential
diagnosis like neoplasms, infections (specific and
nonspecific) and in immune deficiency disorders and also
the rare disorders like Inflammatory pseudotumour
(Plasma cell granuloma)[1].
According to the onset ,it can be an acute (<2
wks), subacute(2-6wks) or chronic(>6wks)[3]
Methods:
For all the patients routine haematological
investigations , USG,neck, FNAC of enlarged cervical
lymph nodes, serological tests and other relevant tests
was performed. Mode of onset and duration of enlarged
cervical lymph nodes, associated symptoms with it like
pain, fever, cough, throat pain, difficulty in swallowing,
voice change, ear or nasal symptoms, complaints related
to skin infections, scalp infections, associated systemic
illness, history of contact with open case of tuberculosis,
history of smoking or tobacco chewing, history of alcohol
intake were all noted. General physical examination was
done and vitals were recorded. Complete examination of
the enlarged cervical lymph node was done, it’s location,
number, size, tenderness, consistency, mobility and skin
over the swelling were all examined. The areas drained
by enlarged nodes were also examined thoroughly to
identify the focus of infection.
Results:
Out of 100 cases, 37% cases were diagnosed as
Reactive lymphadenitis ,17% cases of metastatic deposits
of squamous cell type in cervical lymph nodes with
known primary, ( 3 cases of Carcinoma of Tongue, 5
cases of hypopharyngeal/laryngeal cancer, 2 cases of
oropharyngeal cancer, 1 case of esophageal cancer)
followed by 4% cases of Granulomatous 14% cases of
Tubercular lymphadenitis ,13% cervical
lyphadenopathy, 5% cases of Metastasis of unknown
origin(neck secondaries with unknown primary),4%
cases of acute suppurative lymphadenitis, 3 cases of
Hodgkin’s lymphoma, 3 cases of Non-Hodgkin’s
lymphoma and 1 case of leukemia.
Conclusion:-
Cervical lymphadenopathy is a frequently
encountered problem in all age groups. It requires
detailed history and clinical examination to arrive at an
etiological diagnosis. Most of them are associated with
the infections in the draining areas of that particular
group of lymph nodes .It shows features of reactive
lymphadenitis and treatment by a course of antibiotics is
sufficient.
Keywords :
Cervical Lymphadenopathy, Tubercular Lymphadenopathy, Metastatic Deposits.
The term lymphadenopathy refers to nodes that are
abnormal in size, consistency or number. Cervical
lymphadenothy is one of the common and important
presentations of the underlying pathology of the head
and neck region which has large number of differential
diagnosis like neoplasms, infections (specific and
nonspecific) and in immune deficiency disorders and also
the rare disorders like Inflammatory pseudotumour
(Plasma cell granuloma)[1].
According to the onset ,it can be an acute (<2
wks), subacute(2-6wks) or chronic(>6wks)[3]
Methods:
For all the patients routine haematological
investigations , USG,neck, FNAC of enlarged cervical
lymph nodes, serological tests and other relevant tests
was performed. Mode of onset and duration of enlarged
cervical lymph nodes, associated symptoms with it like
pain, fever, cough, throat pain, difficulty in swallowing,
voice change, ear or nasal symptoms, complaints related
to skin infections, scalp infections, associated systemic
illness, history of contact with open case of tuberculosis,
history of smoking or tobacco chewing, history of alcohol
intake were all noted. General physical examination was
done and vitals were recorded. Complete examination of
the enlarged cervical lymph node was done, it’s location,
number, size, tenderness, consistency, mobility and skin
over the swelling were all examined. The areas drained
by enlarged nodes were also examined thoroughly to
identify the focus of infection.
Results:
Out of 100 cases, 37% cases were diagnosed as
Reactive lymphadenitis ,17% cases of metastatic deposits
of squamous cell type in cervical lymph nodes with
known primary, ( 3 cases of Carcinoma of Tongue, 5
cases of hypopharyngeal/laryngeal cancer, 2 cases of
oropharyngeal cancer, 1 case of esophageal cancer)
followed by 4% cases of Granulomatous 14% cases of
Tubercular lymphadenitis ,13% cervical
lyphadenopathy, 5% cases of Metastasis of unknown
origin(neck secondaries with unknown primary),4%
cases of acute suppurative lymphadenitis, 3 cases of
Hodgkin’s lymphoma, 3 cases of Non-Hodgkin’s
lymphoma and 1 case of leukemia.
Conclusion:-
Cervical lymphadenopathy is a frequently
encountered problem in all age groups. It requires
detailed history and clinical examination to arrive at an
etiological diagnosis. Most of them are associated with
the infections in the draining areas of that particular
group of lymph nodes .It shows features of reactive
lymphadenitis and treatment by a course of antibiotics is
sufficient.
Keywords :
Cervical Lymphadenopathy, Tubercular Lymphadenopathy, Metastatic Deposits.
