A study on clinical presentation and pathological features of cervical lymphadenopathy

Abstract

In the present study, all the patients had cervical lymphadenopathy (100%) and 8% had the history of pain and fever 21%. The commonest group of lymph nodes involved is level 5 which accounts for 34% in the present series. In investigation fine needle aspiration cytology was found to be accurate, reliable and cheapest method of diagnosis without any significant morbidity and with good patient compliance. Histopathological examination of the lympnode to confirm the diagnosis before starting the treatment is a must. The patient diagnosed as tuberculous cervical lymphdenitis were on ATT drugs for 6 months. Patient diagnosed as nonspecific cervical lymphadenitis were treated with antibiotics and those diagnosed as secondaries/hodgkins lymphoma and non-Hodgkins lymphoma were given chemotherapy/radiotherapy/ surgery accordingly. With the advent of powerful and effective ATT surgery has limited value in the resent years. Surgery has come as complement to medical treatment but not as a replacement.