An Audit of 140 Cases of Cervical Lymphadenopathy at Tertiary Care Hospital

Pir Bux Magsi, Bahawal Uddin Jamro, Altaf Ahmed Shaikh, Hamid Ali Sangi

Abstract


Background: Tubercular lymphadenopathy is the most common extra-pulmonary form of tuberculosis and cervical lymph nodes are the most commonly affected group of nodes. The objective of this study was to find out the frequency of various diseases in cervical lymphadenopathy. Material & Methods: This cross sectional study was conducted at Departments of ENT and Pediatrics of Ghulam Muhammad Mahar Medical College Hospital, Sukkur from July 2007 to July 2011. All patients with cervical lymphadenopathy of at least two months duration were eligible for inclusion. Those younger than 6 years or more than 65 years, with generalized lymphadenopathy, bleeding diathesis, those taking/ taken treatment for tuberculous or malignant lymphadenopathy were excluded. All patients under went excisional/ incisional biopsies of cervical mass. The diagnosis was undertaken on morphological grounds. Gender and age group were demographic variables. The cause of lymphadenopathy was a research variable. All these were analyzed for frequency (number) and relative frequency (%). Results: The total sample size was 140. Males were 80(57.14%) and females were 60(42.86%). Age ranged from 6-65 years. Most of the patients i.e. 60(42.86%) were in age group 21-40 year, so the younger age group was dominating. The tuberculosis was found the most common cause of cervical lymphadenopathy in 80(57.14%) patients, followed by reactive hyperplasia in 30(21.43%) patients, lymphoma in 2(14.28%) patients and metastatic malignancy in 10(7.15%) patients. Conclusion: Early diagnosis of cervical lymphadenopathy is most important for the proper management of the underlying disease where excisional biopsy is diagnostic and should be performed without delay.

Keywords


Tuberculous cervical lymphadenopathy; Reactive hyperplasia; Lymphoma; Metastatic malignancy

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References


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