FREQUENCY AND DISTRIBUTION OF DIFFERENT TYPES OF CERVICAL LYMPHADENOPATHY IN PATIENTS IN D.I.KHAN DISTRICT, PAKISTAN

Abstract

Background: Cervical lymphadenopathy is a common medical problem. The objective of the study was to determine the frequency and distribution of different types of cervical lymphadenopathy in patients in D.I.Khan, KP, Pakistan. Material & Methods: This cross sectional study was conducted at Department of ENT, Gomal Medical College, Dera Ismail Khan from April 2013 to March 2016. Sample size was 80, selected through consecutive sampling technique. Patients having enlarged lymph nodes of either sex and of any age of at least 2 months duration were included. Patients having generalized lymphadenopathy were excluded from the study. Gender and age groups were the demographic variables. The research variables were types of cervical lymphadenopathy (tuberculous lymphadenopathy/ reactive hyperplasia/ metastatic carcinoma/ lymphpoma) and side of the neck involved (right/ left). All variables being categorical, the frequencies and percentages were calculated. descriptive statistical analysis was done using SPSS version 10. Results: Out of 80 patients, 42 were males and 38 females. Majority of the patients were in the first decade. Chronic granulomatous diseases especially the tuberculous cervical lymphadenopathy was the most frequent histological findings in 31 patients. Lymphoma was noted in 21, reactive hyperplasia in 18 and metastatic malignancy in 10 cases. Lymph nodes involvement on the right side was more common 36 than on the left side 32. Conclusion: Unilateral tuberculous cervical lymphadenopathy was most common found especially in young males.