Clinico-Pathological Study of Cervical Lymphadenopathy in a Tertiary Care Centre
Hemantkumar Gopal Borse, Aakash Bhamre
Abstract
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Hemantkumar Gopal Borse, Aakash Bhamre
Abstract
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Introduction: Cervical lymphadenopathy is common in India and may present as diagnostic problem to the clinician. Diseases affecting cervical lymph nodes are of varying severity starting from simple curable infection to difficult incurable malignant disease. Objective: The purpose of this study was to observe the various clinical presentations of cervical lymphadenopathy and correlate histopathological findings with the clinical diagnosis. Methods: A cross sectional study was conducted during the period from August 2015 to December 2017 at a tertiary care centre on 50 patients presenting with cervical lymphadenopathy. Results: In this series, tissue diagnosis by biopsy found Tuberculosis (TB) 74% cases, metastatic carcinoma in 12%, and non-specific reactive hyperplasia in 10% and lymphoma in 4% cases. Seventy six percent cases were below 40 years of age. Conclusion: Thirty-Seven (74%) cases were diagnosed clinically as tubercular lymphadenitis, 05(10%) as metastatic carcinoma, 06(12%) non-specific reactive hyperplasia and 02(4%) cases were of lymphoma which was nearly similar to histopathological diagnosis.
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Introduction: Cervical lymphadenopathy is common in India and may present as diagnostic problem to the clinician. Diseases affecting cervical lymph nodes are of varying severity starting from simple curable infection to difficult incurable malignant disease. Objective: The purpose of this study was to observe the various clinical presentations of cervical lymphadenopathy and correlate histopathological findings with the clinical diagnosis. Methods: A cross sectional study was conducted during the period from August 2015 to December 2017 at a tertiary care centre on 50 patients presenting with cervical lymphadenopathy. Results: In this series, tissue diagnosis by biopsy found Tuberculosis (TB) 74% cases, metastatic carcinoma in 12%, and non-specific reactive hyperplasia in 10% and lymphoma in 4% cases. Seventy six percent cases were below 40 years of age. Conclusion: Thirty-Seven (74%) cases were diagnosed clinically as tubercular lymphadenitis, 05(10%) as metastatic carcinoma, 06(12%) non-specific reactive hyperplasia and 02(4%) cases were of lymphoma which was nearly similar to histopathological diagnosis.
Key concepts: Medicine, Cervical lymphadenopathy, Lymphoma, Metastatic carcinoma, Pathological, Cervical lymph nodes, Tuberculosis, Biopsy