Abdul Qayoom Daudpota, Muhammad Ali Ansari, Nasir Ali Wagho.
Incidence of tuberculosis in cervical lymphadenopathy.
Isra Med J Jan ;5(1):23-5.

OBJECTIVES: To find out the incidence of tuberculosis in cervical lymphadenopathy and patients characteristic. STUDY DESIGN: Descriptive study. PLACE AND DURATION: This study carried out in surgical unit I Civil Hospital Jacobabad from January 2009 to December 2011. METHODOLOGY: Patients having cervical lymphadenopathy above the age of 12 years of both sexes were included in this study. Fine needle aspiration cytology (FNAC) of lymph nodes was done, and excision biopsy was also performed when ever required, apart from that complete history, physical examination ESR and other required haemotological test performed. RESULTS: A total number of 180 patients with enlarge lymph nodes both male female adults were included, 68.88 %( n=124) were below the age of 30 years, remaining 32.22% (n=56) were above this age group, 76.11% (n=137), patients had tuberculosis lymphadenitis. In 11.66% patients (n=21) reactive hyperplasia, 8.88% patients (n=16), chronic non specific lymphadenitis, 2.77% patient (n=05) lymphoma and 0.55% patient (n=1) metastasis to cervical lymph nodes were diagnosed. FNAC was conclusive in 87.77%, while ESR was raised in 26.66% cases. Constitutional symptoms were not significant, majority (n=119) of patients belong to poor class. CONCLUSION: Tuberculosis was most common diseases involving the cervical lymph nodes in both sexes who belong to poor socio economical class. Haemotological findings were inconclusive in majority of patients the FNAC diagnosis highly conclusive but few required lymph node biopsy in few cases.

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