Clinico-pathological profile of cervical lymphadenopathy
Bhatt, Janardan; Shah, J. and Shah, F. (2000) Clinico-pathological profile of cervical lymphadenopathy. Journal of Applied Basic Medical Sciences, 2 (2). pp. 35-39. ISSN ISSN 0972-4729
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The study concluded the fact that the tuberculosis is the most common cause of cervical lymphadenopathy. In our set up 51.9 % of patient of CL were suffering from tuberculous cervical lymphadenitis. Though in about 48.1% of patients the non-tuberculous causes were responsible lesions for the CL. In patients with CL one should wait for 3 weeks to rule out common viral infection. In such patients, one should study the blood counts and peripheral smears, careful for various types of haematological malignancy i.e. leukemias and if needed, supplemented with bone marrow examination. If CL is of more than 3 week duration and the haematological status is normal, than instead of giving empirical (therapeutic test) with AKT, patients should be considered for FNAC. FNAC is found to be safe & simple in diagnosing the lesions responsible for CL including the tuberculosis. Not a single complication is recorded during the study with FN AC. If FNAC adjunct with bacteriological, immunological and PCR test, the accuracy of diagnosing the tuberculosis is 100%. FNAC is extremely useful in certain clinical setup i.e. metastases of unknown origin, pyrexia of unknown origin, symptomatic and a symptomatic, cervical mass lesions. CL is not uncommon clinical presentation in clinical practice. All patients should be carefully examined for cervical lymph nodes enlargement. High index of suspicion is essential in clinical setup. The detail clinical examination for lymph nodes. Supplemented with routine laboratory examination and FNAC give very important clue to the medical professionals among patients presented with cervical, lymphadenopathy.
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