Cervical Lymphadenopathy - A Clinical Spectrum

Cervical Lymphadenopathy

Abstract

Background: Cervical lymphadenopathy is a common presentation in the course of many diseases. This condition is generally not a disease by itself; it is a symptom of many possible underlying problems so its a great challenge establishing correct diagnosis of cervical lymphadenopathy. The objective is to study the spectrum of Clinicopathological features and management of cervical lymphadenopathy. Subjects and Methods: All patients attending to the Surgical OP, Bhaskar General Hospital with cervical lymphadenopathy during the period of six months between January 2018 to June 2018 were included. A detailed case history, clinical examination of the patient and investigation were carried out. If FNAC was inconclusive then Lymph node biopsy was carried out.  Management of the cervical lymphadenopathy was done accordingly. Results:  Out of 66 cases, tuberculosis accounted for 42 cases. Thirteen were neoplastic lesions, eight were reactive lymphadenitis and rest three cases were turned out to be chronic non-specific lymphadenitis. Out of the 42 histopathologically confirmed cases of TB cervical lymphadenitis, a diagnosis of tuberculosis was made in 36 cases by FNAC. Conclusion: Cervical lymphadenopathy is a presenting symptom for wide variety of diseases and requires meticulous attention to make a correct diagnosis and plan proper treatment. FNAC is most commonly available valuable investigation for accurate diagnosis. The treating physician need to the aware of the wide spectrum of disease which can be presented as cervical lymphadenopathy.